Haecker, Nanci K

Haecker, Nanci K is an individual health care provider with primary practice located at 1510 Columbus Ave Suite 230, Washington Court House OH 43160-1899. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Haecker, Nanci K can be contacted via phone (740) 333-3333.

Contact Information

Primary practice address
1510 Columbus Ave Suite 230 Washington Court House OH 43160-1899
Fax: (740) 333-5171
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA. 11636-NP Ohio

Profile Details

NPI number 1558679126
LBN Legal business name Haecker, Nanci K
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2010
Last updated Dec 1st, 2020 - about 4 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 1558679126 NPPES
Ohio MEDICAID 0050522

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