Hacker, Dawn L

Hacker, Dawn L is an individual health care provider with primary practice located at 9301 Madison St , Crown Point IN 46307-7745. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hacker, Dawn L can be contacted via phone (219) 662-5000.

Contact Information

Primary practice address
9301 Madison St Crown Point IN 46307-7745
Fax: (219) 662-5181
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001902 Indiana

Profile Details

NPI number 1477556892
LBN Legal business name Hacker, Dawn L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Apr 13th, 2018 - about 7 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 1477556892 NPPES
Indiana MEDICAID 200379960A

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