Hardwicke, Marybeth
Hardwicke, Marybeth is an individual health care provider with primary practice located at 23411 Jefferson Ave Suite 100, Saint Clair Shores MI 48080-1949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hardwicke, Marybeth can be contacted via phone (586) 778-4080.Contact Information
Primary practice address
23411 Jefferson Ave Suite 100
Saint Clair Shores MI 48080-1949
Phone: (586) 778-4080
Fax: (586) 778-6055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MH404922 | Michigan |
Profile Details
| NPI number | 1144228586 |
|---|---|
| LBN Legal business name | Hardwicke, Marybeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Apr 29th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144228586 | NPPES |
| Michigan | MEDICAID | 3384323 |
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