Hardie, Jennifer

Hardie, Jennifer is an individual health care provider with primary practice located at 3050 Mack Rd Ml 11032, Fairfield OH 45014-5379. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hardie, Jennifer can be contacted via phone (513) 636-8259.

Contact Information

Primary practice address
3050 Mack Rd Ml 11032 Fairfield OH 45014-5379
Fax: (513) 636-6419
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32418 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.068552 Ohio

Profile Details

NPI number 1174521298
LBN Legal business name Hardie, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Aug 11th, 2015 - about 10 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 1174521298 NPPES
Kentucky Other 000000034012 ANTHEM
Kentucky MEDICAID 64060072 ANTHEM
Kentucky Other K32418 ANTHEM

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