Hackenbracht, Jason

Hackenbracht, Jason is an individual health care provider with primary practice located at 2410 Atherholt Rd , Lynchburg VA 24501-2148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hackenbracht, Jason can be contacted via phone (434) 200-5252.

Contact Information

Primary practice address
2410 Atherholt Rd Lynchburg VA 24501-2148
Phone: (434) 200-5252
Fax: (434) 200-2862
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101057943 Virginia

Profile Details

NPI number 1952385452
LBN Legal business name Hackenbracht, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Apr 1st, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952385452 NPPES
Virginia MEDICAID 010313503

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