Sean P Hackett in Fruitland - Medical

Sean P Hackett - NPI 1881685642

Sean P Hackett is a Medical in Fruitland, Idaho. Sean P Hackett practices all healthcare services and medical treatments related to Medical. The NPI Number for Sean P Hackett is 1881685642. The last update date is 2011-03-16.

Sean P Hackett's current location address is 1210 Nw 16th St, Fruitland, Idaho. You can contact this provider via phone number 2084528600 and fax number 2084528601. The mailing address for Sean P Hackett is 1210 Nw 16th St, Fruitland, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Sean P Hackett
Address 1210 Nw 16th St, Fruitland, Idaho
Phone Number 2084528600
Fax Number 2084528601
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1881685642
Provider Enumeration Date 2005-11-02
Last Updated Date 2011-03-16

Provider Mailing Address Detail

Address 1210 Nw 16th St
City Fruitland
State Idaho (ID)
Post Code 836192202
Phone Number 2084528600
Fax Number 2084528601

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA-204
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Sean P Hackett

What is the unique identification code assigned to Sean P Hackett by the Centers for Medicare & Medicaid Services?

The Sean P Hackett has been issued the NPI (National Provider Identifier) 1881685642. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Sean P Hackett's facilities are situated?

The facilities of Sean P Hackett are physically located at the following address: 1210 Nw 16Th St, Fruitland, ID, 836192202.

What is Sean P Hackett's specialized field of practice, and what is the corresponding taxonomy classification code?

The Sean P Hackett's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.

When was the Sean P Hackett's 1881685642 issued?

The Sean P Hackett's 1881685642 was issued on 2005-11-02.

When was the information pertaining to Sean P Hackett most recently updated or revised?

The details related to Sean P Hackett, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-16.

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