Hockett, Stacy Matthew

Hockett, Stacy Matthew is an individual health care provider with primary practice located at 10000 Zane Ave N , Brooklyn Park MN 55443-1400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hockett, Stacy Matthew can be contacted via phone (763) 572-5710.

Contact Information

Primary practice address
10000 Zane Ave N Brooklyn Park MN 55443-1400
Phone: (763) 572-5710
Fax: (763) 569-6200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39791 Minnesota

Profile Details

NPI number 1831152842
LBN Legal business name Hockett, Stacy Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Apr 10th, 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 1831152842 NPPES
Minnesota MEDICAID 751453100
Minnesota Other HP39201
Minnesota Other 1034895
Minnesota Other 68F04HO
Minnesota Other 1892373
Minnesota Other 6606626
Minnesota Other 7416497
Minnesota Other 0114149
Minnesota Other 121194

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