Hackett, Martha E

Hackett, Martha E is an sole proprietor health care provider with primary practice located at 8300 Tyler Blvd Ste 300 , Mentor OH 44060-4251. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hackett, Martha E can be contacted via phone (440) 205-1529.

Contact Information

Primary practice address
8300 Tyler Blvd Ste 300 Mentor OH 44060-4251
Fax: (440) 205-0840
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35 043939-H Ohio

Profile Details

NPI number 1467454975
LBN Legal business name Hackett, Martha E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Mar 3rd, 2021 - about 3 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 1467454975 NPPES
Ohio MEDICAID 0484042

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