Hardebeck, Charles J

Hardebeck, Charles J is an individual health care provider with primary practice located at 473 W 12Th Ave Hlri, 2Nd Floor, Columbus OH 43210-1252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hardebeck, Charles J can be contacted via phone (614) 947-3700.

Contact Information

Primary practice address
473 W 12Th Ave Hlri, 2Nd Floor Columbus OH 43210-1252
Phone: (614) 947-3700
Fax: (614) 947-3771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 21052 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35047571 Ohio

Profile Details

NPI number 1508869736
LBN Legal business name Hardebeck, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Sep 17th, 2010 - about 14 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 1508869736 NPPES
Kentucky MEDICAID 64210529
Kentucky MEDICAID 0545459

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