Individual
JEFFREY M HARDACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-082596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221355
UNISON
OH
01
—
000000503727
ANTHEM
—
05
—
2426191
—
OH
01
—
363611
WELLCARE
OH
01
—
7153331
AETNA
—
01
—
738061
BUCKEYE
OH
01
—
P00155791
RAILROAD MEDICARE - UHPL
OH
01
—
P00412477
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
01/08/2021
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