Hackett, Faith Alice
Hackett, Faith Alice is an individual health care provider with primary practice located at 844 Ritchie Hwy Suite 206, Severna Park MD 21146. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Hackett, Faith Alice can be contacted via phone (410) 647-8300.Contact Information
Primary practice address
844 Ritchie Hwy Suite 206
Severna Park MD 21146
Phone: (410) 647-8300
Fax: (410) 315-8444
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D32426 | Maryland |
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | D32426 | Maryland |
Profile Details
NPI number | 1154393213 |
---|---|
LBN Legal business name | Hackett, Faith Alice |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154393213 | NPPES |
Other | 03794 | AMERICAID | |
Other | 0H64 | AMERICAID | |
Other | 11120 | AMERICAID | |
Other | OH64 | AMERICAID | |
Other | 0553696119 | AMERICAID | |
Other | 06704 | AMERICAID | |
Other | 726556 | AMERICAID | |
Other | 811265 | AMERICAID | |
Other | T593001 | AMERICAID | |
Other | 4077FA | AMERICAID | |
Other | 38000 | AMERICAID | |
Other | 38000 | AMERICAID | |
Other | 4338237 | AMERICAID | |
Other | T5930001 | AMERICAID | |
Other | 38000 | AMERICAID |
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