Hardin, Annetta
Hardin, Annetta is an sole proprietor health care provider with primary practice located at 4615 W Lawrence Ln , Glendale AZ 85302-5229. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Hardin, Annetta can be contacted via phone (623) 334-5203.Contact Information
Primary practice address
4615 W Lawrence Ln
Glendale AZ 85302-5229
Phone: (623) 334-5203
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 11688 | Arizona |
Profile Details
| NPI number | 1699841379 |
|---|---|
| LBN Legal business name | Hardin, Annetta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Feb 10th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699841379 | NPPES |
| Arizona | Other | 132419 | AHCCCS ID NUMBER |
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