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Contact Information

DOUGLAS HARDEE
1841 MADORA AVE
DOUGLAS, WY82633
 Phone: 307-358-2846
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for DOUGLAS HARDEE · (Male)

NPI # 1730595679
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2014
Last updated 04/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WY Medicaid 106402907
  • WY Medicaid 106402908
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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