Hackbarth, Richard M

Hackbarth, Richard M is an individual health care provider with primary practice located at 100 Michigan St Ne Mc 117, Grand Rapids MI 49503-2560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Hackbarth, Richard M can be contacted via phone (616) 267-0118.

Contact Information

Primary practice address
100 Michigan St Ne Mc 117 Grand Rapids MI 49503-2560
Phone: (616) 267-0118
Fax: (616) 267-0090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 4301405798 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 4301405798 Michigan

Profile Details

NPI number 1912979220
LBN Legal business name Hackbarth, Richard M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 2nd, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912979220 NPPES
Michigan MEDICAID 2693093
Michigan Other 3504109321

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