Hardwick, James M

Hardwick, James M is an individual health care provider with primary practice located at 61 Charles St , Deadwood SD 57732-1303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hardwick, James M can be contacted via phone (605) 722-6101.

Contact Information

Primary practice address
61 Charles St Deadwood SD 57732-1303
Phone: (605) 722-6101
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0432 South Dakota

Profile Details

NPI number 1568409605
LBN Legal business name Hardwick, James M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Feb 23rd, 2008 - about 17 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 1568409605 NPPES
South Dakota MEDICAID 6824182
South Dakota Other 9238019
South Dakota Other 0040959

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