Fillmore Hardy, Deserie M
Fillmore Hardy, Deserie M is an individual health care provider with primary practice located at 135 W Main St , Chehalis WA 98532-4817. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fillmore Hardy, Deserie M can be contacted via phone (360) 748-6696.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00003653 | Washington |
Profile Details
| NPI number | 1760501183 |
|---|---|
| LBN Legal business name | Fillmore Hardy, Deserie M |
| Credentials | MCP, CDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Dec 11th, 2008 - about 16 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 | 1760501183 | NPPES |
| Washington | Other | CP00003653 | CHEMICAL DEPENDENCY PROFESSIONAL |
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