Hardy, Warren Dale

Hardy, Warren Dale is an individual health care provider with primary practice located at 6701 Airport Blvd Suite A107, Mobile AL 36608-6774. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Hardy, Warren Dale can be contacted via phone (251) 435-8572.

Contact Information

Primary practice address
6701 Airport Blvd Suite A107 Mobile AL 36608-6774
Phone: (251) 435-8572
Fax: (251) 435-8615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 16613 Alabama
Other Service Providers / Specialist 174400000X 14085 Mississippi
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 16613 Alabama

Profile Details

NPI number 1558349860
LBN Legal business name Hardy, Warren Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated May 6th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558349860 NPPES
Mississippi MEDICAID 00126607
Mississippi Other 1063477644
Mississippi MEDICAID 009902515
Mississippi Other 1558349860
Mississippi Other G364

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