Harden, Amy Jo

Harden, Amy Jo is an individual health care provider with primary practice located at 1204 N Main St , Marion VA 24354-4312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Harden, Amy Jo can be contacted via phone (276) 783-2511.

Contact Information

Primary practice address
1204 N Main St Marion VA 24354-4312
Phone: (276) 783-2511
Fax: (276) 783-2532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101237020 Virginia

Profile Details

NPI number 1154371474
LBN Legal business name Harden, Amy Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated May 22nd, 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 1154371474 NPPES
Virginia Other 146918 ANTHEM BC PROVIDER NUMBER
Virginia MEDICAID 010088577 ANTHEM BC PROVIDER NUMBER
Virginia Other 321590 ANTHEM BC PROVIDER NUMBER
Virginia Other TN0102 ANTHEM BC PROVIDER NUMBER

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