Hackett, Russell H
Hackett, Russell H is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Hackett, Russell H can be contacted via phone (937) 641-3321.Contact Information
Primary practice address
1 Childrens Plz
Dayton OH 45404-1898
Phone: (937) 641-3321
Fax: (937) 641-4410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 35034882 | Ohio |
Profile Details
| NPI number | 1881755403 |
|---|---|
| LBN Legal business name | Hackett, Russell H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1881755403 | NPPES |
| Ohio | MEDICAID | 0800628 | |
| Ohio | Other | 000000008864 |
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