Hackett, John David
Hackett, John David is an individual health care provider with primary practice located at 9 Hope Aveneu 153, Waltham MA 02453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hackett, John David can be contacted via phone (781) 788-8444.Contact Information
Primary practice address
9 Hope Aveneu 153
Waltham MA 02453
Phone: (781) 788-8444
Fax: (781) 893-1273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 150282 | Massachusetts |
Profile Details
| NPI number | 1518059401 |
|---|---|
| LBN Legal business name | Hackett, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 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 | 1518059401 | NPPES |
| Massachusetts | MEDICAID | 3156257 |
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