Mchardy, Bryson Roy
Mchardy, Bryson Roy is an individual health care provider with primary practice located at 100 Medical Dr , Hannibal MO 63401-6877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mchardy, Bryson Roy can be contacted via phone (573) 231-3106.Contact Information
Primary practice address
100 Medical Dr
Hannibal MO 63401-6877
Phone: (573) 231-3106
Fax: (573) 231-3723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 2008007525 | Missouri |
Profile Details
| NPI number | 1841299161 |
|---|---|
| LBN Legal business name | Mchardy, Bryson Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jan 2nd, 2014 - about 12 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 | 1841299161 | NPPES |
| Colorado | MEDICAID | 01308626 |
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