Hardee, Michael Wayne

Hardee, Michael Wayne is an sole proprietor health care provider with primary practice located at 444 Williamson Road Suite E, Mooresville NC 28117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hardee, Michael Wayne can be contacted via phone (704) 658-9779.

Contact Information

Primary practice address
444 Williamson Road Suite E Mooresville NC 28117
Phone: (704) 658-9779
Fax: (704) 658-9773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000-00816 North Carolina

Profile Details

NPI number 1720075955
LBN Legal business name Hardee, Michael Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2005
Last updated Jan 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720075955 NPPES
North Carolina Other 02629 BLUE CROSS BLUE SHEILD
North Carolina Other 3974316 BLUE CROSS BLUE SHEILD
North Carolina MEDICAID 891267W BLUE CROSS BLUE SHEILD
North Carolina Other 2281030 BLUE CROSS BLUE SHEILD

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