Hackworth, Craig A
Hackworth, Craig A is an individual health care provider with primary practice located at 3200 Westhill Dr Suite 210, Wausau WI 54401-4705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hackworth, Craig A can be contacted via phone (715) 847-2020.Contact Information
Primary practice address
3200 Westhill Dr Suite 210
Wausau WI 54401-4705
Phone: (715) 847-2020
Fax: (715) 847-0020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 39230 | Wisconsin |
Profile Details
| NPI number | 1255340162 |
|---|---|
| LBN Legal business name | Hackworth, Craig A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255340162 | NPPES |
| Wisconsin | MEDICAID | 32665300 |
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