Hackett, Ryan Andrew

Hackett, Ryan Andrew is an individual health care provider with primary practice located at 1505 W Elk Ave Suite 2, Elizabethton TN 37643-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hackett, Ryan Andrew can be contacted via phone (423) 543-1261.

Contact Information

Primary practice address
1505 W Elk Ave Suite 2 Elizabethton TN 37643-2848
Phone: (423) 543-1261
Fax: (423) 543-7500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52415 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25511 Nebraska

Profile Details

NPI number 1710140249
LBN Legal business name Hackett, Ryan Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2008
Last updated Jun 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710140249 NPPES
Tennessee MEDICAID Q012882

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