Hardin, John Calvin

Hardin, John Calvin is an individual health care provider with primary practice located at 1801 Fairfield Ave #105, Shreveport LA 71101-4443. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hardin, John Calvin can be contacted via phone (318) 424-2192.

Contact Information

Primary practice address
1801 Fairfield Ave #105 Shreveport LA 71101-4443
Fax: (318) 424-2595
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 061835 Louisiana

Profile Details

NPI number 1700872934
LBN Legal business name Hardin, John Calvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jun 8th, 2012 - about 12 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 1700872934 NPPES
Louisiana MEDICAID 1352781

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