Individual
DR. CHARLES J HARDEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
473 W 12TH AVE, HLRI, 2ND FLOOR, COLUMBUS, OH 43210-1252
(614) 947-3700
(614) 947-3771
Mailing address
700 ACKERMAN RD, SUITE 385, COLUMBUS, OH 43202-1559
(614) 947-3700
(614) 947-3771
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
21052
KY
207RC0000X
Cardiovascular Disease Physician
Primary
35047571
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0545459
—
OH
05
—
64210529
—
KY
Enumeration date
05/23/2005
Last updated
09/17/2010
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