Hackett, Sean P

Hackett, Sean P is an individual health care provider with primary practice located at 1210 Nw 16Th St , Fruitland ID 83619-2202. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hackett, Sean P can be contacted via phone (208) 452-8600.

Contact Information

Primary practice address
1210 Nw 16Th St Fruitland ID 83619-2202
Phone: (208) 452-8600
Fax: (208) 452-8601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-204 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00575 Oregon

Profile Details

NPI number 1881685642
LBN Legal business name Hackett, Sean P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 16th, 2011 - about 14 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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