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
Phone: (703) 698-1856
Fax: (703) 207-0843
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659353043 | NPPES |
Virginia | MEDICAID | 010273340 |
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