Hardy, Michael R

Hardy, Michael R is an individual health care provider with primary practice located at 3580 Joseph Siewiwck Drive Suite 401, Fairfax VA 22033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hardy, Michael R can be contacted via phone (703) 698-1856.

Contact Information

Primary practice address
3580 Joseph Siewiwck Drive Suite 401 Fairfax VA 22033
Fax: (703) 207-0843
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0101037547 Virginia

Profile Details

NPI number 1659353043
LBN Legal business name Hardy, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2005
Last updated Jan 22nd, 2015 - about 9 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 1659353043 NPPES
Virginia MEDICAID 010273340

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