Provider Demographics
NPI:1467805283
Name:HARDRICK, SEAN MICHEAL SR
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:MICHEAL
Last Name:HARDRICK
Suffix:SR
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 1:911 BILOXI DR
Mailing Address - Street 2:APT - A
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-2364
Mailing Address - Country:US
Mailing Address - Phone:405-822-8112
Mailing Address - Fax:
Practice Address - Street 1:911 BILOXI DR
Practice Address - Street 2:APT - A
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-2364
Practice Address - Country:US
Practice Address - Phone:405-822-8112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-16
Last Update Date:2016-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator