Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | IN01041884A | IN |
NPI | 1053335794 |
---|---|
Provider Name | James W Hardacker |
First Address | Carmel, IN 46032-1498 |
Second Address | Carmel, IN 46032-1498 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F67478 | (02) | IN |