Hacker, Mary F

Hacker, Mary F is an individual health care provider with primary practice located at 4189 Westlawn S , Iowa City IA 52242-1100. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Hacker, Mary F can be contacted via phone (319) 335-8370.

Contact Information

Primary practice address
4189 Westlawn S Iowa City IA 52242-1100
Fax: (314) 335-7247
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 18164 Iowa

Profile Details

NPI number 1568459188
LBN Legal business name Hacker, Mary F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jul 8th, 2007 - about 18 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 1568459188 NPPES
Iowa Other 17705 WELLMARK BCBS
Iowa MEDICAID 0177055 WELLMARK BCBS

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