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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1639565583 NPPES
Kentucky MEDICAID 7100624900

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