Rickie Hardaway in Detroit - Addiction Medicine
Rickie Hardaway - NPI 1316903198
Rickie Hardaway is a Addiction Medicine in Detroit, Michigan. Rickie Hardaway practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Rickie Hardaway is 1316903198. The last update date is 2023-02-09.
Rickie Hardaway's current location address is 15865 Wyoming, Detroit, Michigan. You can contact this provider via phone number 3133422576 and fax number 3133424486. The mailing address for Rickie Hardaway is 15865 Wyoming, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rickie Hardaway |
|---|---|
| Address | 15865 Wyoming, Detroit, Michigan |
| Phone Number | 3133422576 |
| Fax Number | 3133424486 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316903198 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2023-02-09 |
Provider Mailing Address Detail
| Address | 15865 Wyoming |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 48238 |
| Phone Number | 3133422576 |
| Fax Number | 3133424486 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 4301061729 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4088160 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Rickie Hardaway by the Centers for Medicare & Medicaid Services?
The Rickie Hardaway has been assigned the NPI (National Provider Identifier) 1316903198 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Rickie Hardaway's facilities are situated?
The facilities of Rickie Hardaway are physically located at the following address: 15865 Wyoming, Detroit, MI, 48238.
What is the Rickie Hardaway's area of specialization and corresponding taxonomy classification?
The Rickie Hardaway's specialty field is Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1316903198 to Rickie Hardaway?
The Centers for Medicare & Medicaid Services assigned the 1316903198 to Rickie Hardaway on 2006-04-21.
As of what date was the information regarding Rickie Hardaway, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Rickie Hardaway, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-02-09.