Hackett, Thomas Everett

Hackett, Thomas Everett is an individual health care provider with primary practice located at 3349 Hwy 138 Bldg B Suite F, Wall Township NJ 07719-9671. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Hackett, Thomas Everett can be contacted via phone (732) 280-5464.

Contact Information

Primary practice address
3349 Hwy 138 Bldg B Suite F Wall Township NJ 07719-9671
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MB04815300 New Jersey
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 25MB04815300 New Jersey

Profile Details

NPI number 1619069424
LBN Legal business name Hackett, Thomas Everett
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Apr 25th, 2024 - about 7 months 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 1619069424 NPPES
New Jersey MEDICAID 6734502
New Jersey Other 980000256

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