Lance E Hardwig in Nett Lake - Physician Assistant

Lance E Hardwig - NPI 1760494611

Lance E Hardwig is a Physician Assistant in Nett Lake, Minnesota. Lance E Hardwig practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lance E Hardwig is 1760494611. The last update date is 2008-04-18.

Lance E Hardwig's current location address is 13071 Nett Lake Rd., Nett Lake, Minnesota. You can contact this provider via phone number 2187573295 and fax number 2187570222. The mailing address for Lance E Hardwig is 13071 Nett Lake Rd., Nett Lake, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Lance E Hardwig
Address 13071 Nett Lake Rd., Nett Lake, Minnesota
Phone Number 2187573295
Fax Number 2187570222
Sole Proprietor N
Credentials P.A,

NPI Number Detail

NPI Number 1760494611
Provider Enumeration Date 2006-08-12
Last Updated Date 2008-04-18

Provider Mailing Address Detail

Address 13071 Nett Lake Rd.
City Nett Lake
State Minnesota (MN)
Post Code 55771
Phone Number 2187573295
Fax Number 2187570222

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 30109
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
63G36HA MN BCBS

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FAQs about Lance E Hardwig

What is Lance E Hardwig's area of expertise and its corresponding taxonomy classification?

The Lance E Hardwig's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

What is Lance E Hardwig's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lance E Hardwig is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did Lance E Hardwig receive its 1760494611 assignment?

The Lance E Hardwig was assigned its 1760494611 on 2006-08-12, which is the date when this unique identifier was issued to the organization.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760494611 to Lance E Hardwig?

The Centers for Medicare & Medicaid Services originally issued the 1760494611 to Lance E Hardwig on 2006-08-12.

When was the information regarding Lance E Hardwig, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lance E Hardwig, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-18.

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