Hackett, Sharon L

Hackett, Sharon L is an individual health care provider with primary practice located at 189 Prouty Dr , Newport VT 05855-9326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Hackett, Sharon L can be contacted via phone (802) 334-4111.

Contact Information

Primary practice address
189 Prouty Dr Newport VT 05855-9326
Phone: (802) 334-4111
Fax: (802) 334-3281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0420010181 Vermont

Profile Details

NPI number 1598842874
LBN Legal business name Hackett, Sharon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1598842874 NPPES
Vermont Other 00058055 BLUE SHIELD
Vermont MEDICAID 30201819 BLUE SHIELD
Vermont MEDICAID 0VN2542 BLUE SHIELD
Vermont Other 07784 BLUE SHIELD

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