Clayton David Hackerman in Seattle - Student In An Organized Health Care Education/training Program

Clayton David Hackerman - NPI 1972707834

Clayton David Hackerman is a Student In An Organized Health Care Education/training Program in Seattle, Washington. Clayton David Hackerman practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Clayton David Hackerman is 1972707834. The last update date is 2011-02-04.

Clayton David Hackerman's current location address is 1145 Broadway, Seattle, Washington. You can contact this provider via phone number 2063291760. The mailing address for Clayton David Hackerman is 1145 Broadway, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Clayton David Hackerman
Address 1145 Broadway, Seattle, Washington
Phone Number 2063291760
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1972707834
Provider Enumeration Date 2007-06-13
Last Updated Date 2011-02-04

Provider Mailing Address Detail

Address 1145 Broadway
City Seattle
State Washington (WA)
Post Code 981224201
Phone Number 2063291760
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
BP1-0017837 INSTITUTIONAL PERMIT

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FAQs about Clayton David Hackerman

What is the Clayton David Hackerman's 1972707834?

The Clayton David Hackerman's NPI (National Provider Identifier) Number is 1972707834. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Clayton David Hackerman's facilities are situated?

The facilities of Clayton David Hackerman are physically located at the following address: 1145 Broadway, Seattle, WA, 981224201.

What is Clayton David Hackerman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Clayton David Hackerman is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy classification code for this specialized field is 390200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1972707834 to Clayton David Hackerman?

The Clayton David Hackerman received its 1972707834 assignment from the Centers for Medicare & Medicaid Services on 2007-06-13.

When was the information related to Clayton David Hackerman most recently updated or refreshed?

The details pertaining to the Clayton David Hackerman, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-02-04.

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