Hardison, James Kevin

Hardison, James Kevin is an individual health care provider with primary practice located at 335 Billingsley Rd Suite 102, Charlotte NC 28211-1040. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hardison, James Kevin can be contacted via phone (704) 632-8032.

Contact Information

Primary practice address
335 Billingsley Rd Suite 102 Charlotte NC 28211-1040
Fax: (704) 632-8034
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 475 North Carolina

Profile Details

NPI number 1689616567
LBN Legal business name Hardison, James Kevin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1689616567 NPPES
North Carolina MEDICAID 7908097
North Carolina Other 08097
North Carolina Other 806670

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