Hardison, Michael David

Hardison, Michael David is an individual health care provider with primary practice located at 1624 E Seltice Way , Post Falls ID 83854-7022. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hardison, Michael David can be contacted via phone (208) 777-0128.

Contact Information

Primary practice address
1624 E Seltice Way Post Falls ID 83854-7022
Phone: (208) 777-0128
Fax: (208) 773-9600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA964 Idaho

Profile Details

NPI number 1215091863
LBN Legal business name Hardison, Michael David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 23rd, 2010 - about 14 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 1215091863 NPPES
Idaho MEDICAID 807387600
Idaho Other C2532
Idaho Other 000010156505

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