Healthcare Provider Details

I. General information

NPI: 1104549229
Provider Name (Legal Business Name): BRITTANY HACKETT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY CATLING PA-C

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

897 W MAIN ST
DOVER FOXCROFT ME
04426-1029
US

IV. Provider business mailing address

897 W MAIN ST
DOVER FOXCROFT ME
04426-1029
US

V. Phone/Fax

Practice location:
  • Phone: 207-564-4251
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA2439
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: