1285638510 NPI number — DR. GLENN R HARDY MD

Table of content: DR. GLENN R HARDY MD (NPI 1285638510)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285638510 NPI number — DR. GLENN R HARDY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARDY
Provider First Name:
GLENN
Provider Middle Name:
R
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285638510
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/26/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
510 IDLEWILD AVE
Provider Second Line Business Mailing Address:
STE 200
Provider Business Mailing Address City Name:
EASTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21601-3883
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-820-8226
Provider Business Mailing Address Fax Number:
410-820-8405

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
510 IDLEWILD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EASTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21601-3824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-820-8226
Provider Business Practice Location Address Fax Number:
410-820-8405
Provider Enumeration Date:
05/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  D0029690 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 333941600 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: CF17-0006 . This is a "CAREFIRST" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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