Hardin, Nicholas Jackson

Hardin, Nicholas Jackson is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Hardin, Nicholas Jackson can be contacted via phone (802) 847-2795.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Phone: (802) 847-2795
Fax: (802) 847-9644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 042-0005931 Vermont

Profile Details

NPI number 1073543757
LBN Legal business name Hardin, Nicholas Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1073543757 NPPES
Vermont MEDICAID 00048301
Vermont MEDICAID 00787444

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