Hardgrove, Paula

Hardgrove, Paula is an individual health care provider with primary practice located at 10 Tower Dr , Sun Prairie WI 53590-1239. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Hardgrove, Paula can be contacted via phone (608) 825-3500.

Contact Information

Primary practice address
10 Tower Dr Sun Prairie WI 53590-1239
Fax: (608) 825-3676
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 64287 - 20 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 64287-20 Wisconsin

Profile Details

NPI number 1245592088
LBN Legal business name Hardgrove, Paula
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2012
Last updated Dec 3rd, 2020 - about 4 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 1245592088 NPPES
Wisconsin MEDICAID 1245592088

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