Hackman, Richard

Hackman, Richard is an individual health care provider with primary practice located at 3275 Tittabawassee Rd , Saginaw MI 48604-9436. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hackman, Richard can be contacted via phone (989) 399-3477.

Contact Information

Primary practice address
3275 Tittabawassee Rd Saginaw MI 48604-9436
Fax: (989) 399-3478
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901002744 Michigan

Profile Details

NPI number 1023093952
LBN Legal business name Hackman, Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Sep 28th, 2012 - about 12 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 1023093952 NPPES
Michigan MEDICAID 4527841

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