Hardy, Stephanie Renae
Hardy, Stephanie Renae is an individual health care provider with primary practice located at 4830 Main St , Shallotte NC 28470-1863. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hardy, Stephanie Renae can be contacted via phone (910) 754-2020.Contact Information
Primary practice address
4830 Main St
Shallotte NC 28470-1863
Phone: (910) 754-2020
Fax: (910) 754-8811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2085 | North Carolina |
Profile Details
| NPI number | 1750479838 |
|---|---|
| LBN Legal business name | Hardy, Stephanie Renae |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Oct 25th, 2011 - about 13 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 | 1750479838 | NPPES |
| North Carolina | Other | NC2164A | MEDICARE PTAN |
| North Carolina | MEDICAID | 5909229 | MEDICARE PTAN |
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