Tardy, Paul J.
Tardy, Paul J. is an sole proprietor health care provider with primary practice located at 105 Serendipity Way # D , Lexington SC 29072-6999. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Tardy, Paul J. can be contacted via phone (803) 556-3911.Contact Information
Primary practice address
105 Serendipity Way # D
Lexington SC 29072-6999
Phone: (803) 556-3911
Fax: (866) 887-4617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3735 | South Carolina |
Profile Details
| NPI number | 1619010857 |
|---|---|
| LBN Legal business name | Tardy, Paul J. |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jun 18th, 2015 - about 10 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 | 1619010857 | NPPES |
| Maine | Other | 099039 | ANTHEM |
| Maine | Other | P00393431 | ANTHEM |
| Maine | Other | 7052332 | ANTHEM |
| Maine | Other | 11513654 | ANTHEM |
| Maine | MEDICAID | 266140000 | ANTHEM |
Popular Providers
-
Crawford, Susan Todd
811 W Main St Ste 205 , Lexington SC 29072-2500 -
Cogswell, Randi Jo
221 Heritage Trl , Lexington SC 29072-3533 -
Hannan, Nikki
800 N Lake Dr , Lexington SC 29072 -
Johnson, Julia Coleman
224 Silvercreek Dr , Lexington SC 29072-8088 -
Roland, Jessica H
200 Wellmore Dr , Lexington SC 29072-9157 -
Propst, Erin
800 N Lake Dr , Lexington SC 29072-2903 -
Mcnally, Sean
143 Sterling Lake Dr , Lexington SC 29072-8225 -
Lane, Sonya Brown
808 Beechleaf Ct , Lexington SC 29072-7402