Hackman, Diane M.

Hackman, Diane M. is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hackman, Diane M. can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN357714L Pennsylvania

Profile Details

NPI number 1639138662
LBN Legal business name Hackman, Diane M.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Mar 17th, 2021 - about 3 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 1639138662 NPPES
Pennsylvania Other CC9269 RR MEDICARE GROUP
Pennsylvania Other 430061674 RR MEDICARE GROUP
Pennsylvania MEDICAID 0018434090001 RR MEDICARE GROUP
Pennsylvania Other GU039832 RR MEDICARE GROUP

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