Provider Demographics
NPI:1366780678
Name:HARDY, AARON JAMES (LMP)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:JAMES
Last Name:HARDY
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-3149
Mailing Address - Country:US
Mailing Address - Phone:206-850-8281
Mailing Address - Fax:425-776-4300
Practice Address - Street 1:549 MAIN ST
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3149
Practice Address - Country:US
Practice Address - Phone:206-850-8281
Practice Address - Fax:425-776-4300
Is Sole Proprietor?:No
Enumeration Date:2013-01-21
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
60299078174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist