Hackshaw, Kevin V

Hackshaw, Kevin V is an sole proprietor health care provider with primary practice located at 1601 Trinity St , Austin TX 78712-1765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Hackshaw, Kevin V can be contacted via phone (833) 882-2737.

Contact Information

Primary practice address
1601 Trinity St Austin TX 78712-1765
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 35060461 Ohio
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G5135 Texas

Profile Details

NPI number 1255348785
LBN Legal business name Hackshaw, Kevin V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated May 6th, 2022 - 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 1255348785 NPPES
Ohio MEDICAID 0802902

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