Hardin, Charlie M
Hardin, Charlie M is an individual health care provider with primary practice located at 110 Park Street , Walnut Grove MS 39189. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Hardin, Charlie M can be contacted via phone (601) 253-0173.Contact Information
Primary practice address
110 Park Street
Walnut Grove MS 39189
Phone: (601) 253-0173
Fax: (601) 253-0176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R857156 | Mississippi |
Profile Details
| NPI number | 1669450037 |
|---|---|
| LBN Legal business name | Hardin, Charlie M |
| Credentials | CFNP/ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Mar 7th, 2018 - about 7 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 | 1669450037 | NPPES |
| Mississippi | MEDICAID | 03239875 |
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