Hardy, Denise A

Hardy, Denise A is an individual health care provider with primary practice located at 9815 Mackenzie Rd , St Louis MO 63123. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Hardy, Denise A can be contacted via phone (314) 638-1590.

Contact Information

Primary practice address
9815 Mackenzie Rd St Louis MO 63123
Phone: (314) 638-1590
Fax: (314) 638-8788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000752 Missouri

Profile Details

NPI number 1033122759
LBN Legal business name Hardy, Denise A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 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 1033122759 NPPES
Missouri Other 113313 BLUE SHIELD
Missouri Other 2700678 BLUE SHIELD

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