Haley, Philip Hardwick

Haley, Philip Hardwick is an sole proprietor health care provider with primary practice located at 8290 University Ave Ne Suite 200, Fridley MN 55432-1847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Haley, Philip Hardwick can be contacted via phone (763) 786-9543.

Contact Information

Primary practice address
8290 University Ave Ne Suite 200 Fridley MN 55432-1847
Phone: (763) 786-9543
Fax: (763) 786-3320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 19477 Minnesota

Profile Details

NPI number 1366460917
LBN Legal business name Haley, Philip Hardwick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Aug 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366460917 NPPES
Minnesota MEDICAID 636283400

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