Harkleroad, Mary Eleanor

Harkleroad, Mary Eleanor is an individual health care provider with primary practice located at 411 S L Rogers Wells Blvd , Glasgow KY 42141-1191. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Harkleroad, Mary Eleanor can be contacted via phone (270) 651-7796.

Contact Information

Primary practice address
411 S L Rogers Wells Blvd Glasgow KY 42141-1191
Phone: (270) 651-7796
Fax: (270) 651-7796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 45808 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 053748 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45808 Kentucky

Profile Details

NPI number 1003879586
LBN Legal business name Harkleroad, Mary Eleanor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jan 15th, 2021 - about 5 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 1003879586 NPPES
Kentucky MEDICAID 7100220570

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