Hackett, Michael D
Hackett, Michael D is an sole proprietor health care provider with primary practice located at 800 Rose St , Lexington KY 40536-7001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Hackett, Michael D can be contacted via phone (859) 323-5956.Contact Information
Primary practice address
800 Rose St
Lexington KY 40536-7001
Phone: (859) 323-5956
Fax: (859) 323-1080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 08204 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN356726L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 3291412 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 3004468 | Kentucky |
| Nursing Service Providers / Registered Nurse | 163W00000X | 1105174 | Kentucky |
Profile Details
| NPI number | 1184688749 |
|---|---|
| LBN Legal business name | Hackett, Michael D |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Apr 29th, 2024 - about last year |
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 | 1184688749 | NPPES |
| Kentucky | MEDICAID | 7401086900 | |
| Kentucky | MEDICAID | 200519280 | |
| Kentucky | Other | 9487921 | |
| Kentucky | Other | 000000542747 | |
| Kentucky | MEDICAID | 2484815 | |
| Kentucky | Other | 70965 |
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