Hardin, Brock Andrew
Hardin, Brock Andrew is an individual health care provider with primary practice located at 3615 Newburg Rd Apt 1 , Louisville KY 40218-3368. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Hardin, Brock Andrew can be contacted via phone (502) 909-0772.Contact Information
Primary practice address
3615 Newburg Rd Apt 1
Louisville KY 40218-3368
Phone: (502) 909-0772
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28321 | West Virginia |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 28321 | West Virginia |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 52581 | Kentucky |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 4301504273 | Michigan |
Profile Details
NPI number | 1639565583 |
---|---|
LBN Legal business name | Hardin, Brock Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 2015 |
Last updated | Sep 2nd, 2021 - about 3 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 | 1639565583 | NPPES |
Kentucky | MEDICAID | 7100624900 |
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