Hardy, James Leroy
Hardy, James Leroy is an individual health care provider with primary practice located at 1225 Campbell Way Ste 101 , Bremerton WA 98310-3323. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Hardy, James Leroy can be contacted via phone (360) 479-4203.Contact Information
Primary practice address
1225 Campbell Way Ste 101
Bremerton WA 98310-3323
Phone: (360) 479-4203
Fax: (360) 479-7240
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA60002566 | Washington |
Profile Details
NPI number | 1922297001 |
---|---|
LBN Legal business name | Hardy, James Leroy |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 15th, 2007 |
Last updated | Jul 2nd, 2020 - about 5 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 | 1922297001 | NPPES |
Washington | MEDICAID | 1093191 | |
Washington | Other | 374005 |
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