Hardwig, Jeffrey Thomas

Hardwig, Jeffrey Thomas is an individual health care provider with primary practice located at 2501 Keenan Dr , International Falls MN 56649-2181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hardwig, Jeffrey Thomas can be contacted via phone (218) 283-9431.

Contact Information

Primary practice address
2501 Keenan Dr International Falls MN 56649-2181
Phone: (218) 283-9431
Fax: (218) 285-6275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 30109 Minnesota

Profile Details

NPI number 1215969134
LBN Legal business name Hardwig, Jeffrey Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 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 1215969134 NPPES
Minnesota MEDICAID 709792100
Minnesota MEDICAID 32404300

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