Hackett, Raymond Allen

Hackett, Raymond Allen is an sole proprietor health care provider with primary practice located at 140 Bryan Blvd , Corbin KY 40701-2775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hackett, Raymond Allen can be contacted via phone (606) 528-1172.

Contact Information

Primary practice address
140 Bryan Blvd Corbin KY 40701-2775
Phone: (606) 528-1172
Fax: (606) 528-7169
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 30657 Minnesota
Allopathic & Osteopathic Physicians / Urology 208800000X 45767 Kentucky

Profile Details

NPI number 1528173325
LBN Legal business name Hackett, Raymond Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Dec 3rd, 2020 - about 5 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 1528173325 NPPES
Other 06173HA BLUE CROSS
MEDICAID 084583300 BLUE CROSS
Other 1900010 BLUE CROSS
Other 961240267002 BLUE CROSS
Other P01427472 BLUE CROSS
Other 1912600 BLUE CROSS
Other A06082 BLUE CROSS
Other HP13441 BLUE CROSS
Other 101379C118 BLUE CROSS
Other 340004898 BLUE CROSS
MEDICAID 34603700 BLUE CROSS
MEDICAID 7100228250 BLUE CROSS

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