Hardie, Sandra
Hardie, Sandra is an sole proprietor health care provider with primary practice located at 314 Niagara Ave , Sheboygan WI 53081-4128. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hardie, Sandra can be contacted via phone (920) 451-8667.Contact Information
Primary practice address
314 Niagara Ave
Sheboygan WI 53081-4128
Phone: (920) 451-8667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1149 | Wisconsin |
Profile Details
| NPI number | 1821031857 |
|---|---|
| LBN Legal business name | Hardie, Sandra |
| Credentials | CADCIII, CCSII |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 26th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821031857 | NPPES |
| Wisconsin | MEDICAID | 39391900 |
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