Hargis, Anissa

Hargis, Anissa is an individual health care provider with primary practice located at 301 C Middleton Park Pl , Louisville KY 40243. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Hargis, Anissa can be contacted via phone (502) 244-9858.

Contact Information

Primary practice address
301 C Middleton Park Pl Louisville KY 40243
Fax: (502) 244-9575
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 353 Kentucky
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X PA353 Kentucky

Profile Details

NPI number 1467450858
LBN Legal business name Hargis, Anissa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jun 11th, 2009 - about 16 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 1467450858 NPPES
Kentucky Other 000000246339 ANTHEM

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