Hacker, Richard Keith
Hacker, Richard Keith is an individual health care provider with primary practice located at 412 Como Rd , Lake Como PA 18437-1020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hacker, Richard Keith can be contacted via phone (570) 798-2828.Contact Information
Primary practice address
412 Como Rd
Lake Como PA 18437-1020
Phone: (570) 798-2828
Fax: (570) 798-2636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD4287949 | Pennsylvania |
Profile Details
| NPI number | 1013959675 |
|---|---|
| LBN Legal business name | Hacker, Richard Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Sep 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013959675 | NPPES |
| Pennsylvania | MEDICAID | 1018670380007 |
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