Hargis, Anissa
Hargis, Anissa is an individual health care provider with primary practice located at 301 C Middleton Park Pl , Louisville KY 40243. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Hargis, Anissa can be contacted via phone (502) 244-9858.Contact Information
Primary practice address
301 C Middleton Park Pl
Louisville KY 40243
Phone: (502) 244-9858
Fax: (502) 244-9575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 353 | Kentucky |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | PA353 | Kentucky |
Profile Details
| NPI number | 1467450858 |
|---|---|
| LBN Legal business name | Hargis, Anissa |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jun 11th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467450858 | NPPES |
| Kentucky | Other | 000000246339 | ANTHEM |
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