Hardaway, Rickie
Hardaway, Rickie is an individual health care provider with primary practice located at 15865 Wyoming , Detroit MI 48238. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hardaway, Rickie can be contacted via phone (313) 342-2576.Contact Information
Primary practice address
15865 Wyoming
Detroit MI 48238
Phone: (313) 342-2576
Fax: (313) 342-4486
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 4301061729 | Michigan |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301061729 | Michigan |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301061729 | Michigan |
Profile Details
NPI number | 1316903198 |
---|---|
LBN Legal business name | Hardaway, Rickie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 21st, 2006 |
Last updated | Feb 9th, 2023 - about last year |
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 | 1316903198 | NPPES |
Michigan | MEDICAID | 4088160 |
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