Hackenberg, Donald Douglas
Hackenberg, Donald Douglas is an individual health care provider with primary practice located at 5603 Darrow Rd Ste 200 , Hudson OH 44236-5015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hackenberg, Donald Douglas can be contacted via phone (330) 486-9780.Contact Information
Primary practice address
5603 Darrow Rd Ste 200
Hudson OH 44236-5015
Phone: (330) 486-9780
Fax: (330) 486-3411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35071363 | Ohio |
Profile Details
| NPI number | 1396737383 |
|---|---|
| LBN Legal business name | Hackenberg, Donald Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Dec 3rd, 2020 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396737383 | NPPES |
| Ohio | MEDICAID | 2070922 |
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