Hardesty, Michael D

Hardesty, Michael D is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Hardesty, Michael D can be contacted via phone (208) 367-8855.

Contact Information

Primary practice address
1055 N Curtis Rd Boise ID 83706-1309
Phone: (208) 367-8855
Fax: (208) 954-8073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT-283 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C04084 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-903 Idaho

Profile Details

NPI number 1912035999
LBN Legal business name Hardesty, Michael D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Dec 4th, 2019 - about 5 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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