Provider Demographics
NPI:1528352655
Name:HARDEE, JAMES FRANKLIN
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FRANKLIN
Last Name:HARDEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 ELKS PEAK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-5200
Mailing Address - Country:US
Mailing Address - Phone:307-359-0876
Mailing Address - Fax:
Practice Address - Street 1:84 ELKS PEAK AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-5200
Practice Address - Country:US
Practice Address - Phone:307-359-0876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner