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NPI Code Detail

MEDICARE: DR. PATRICK MICHAEL HACKETT DC

MEDICARE: DR. PATRICK MICHAEL HACKETT DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301009792MI

General Provider Information

NPI Number : 1386942712
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK MICHAEL HACKETT DC
Provider Business Mailing Address
First Line : 1776 W JOHN BEERS RD
Second Line :
City : STEVENSVILLE
State : MI
Zip : 49127-9409
Country : US
Telephone Number : 269-861-3144
Fax Number :
Provider Business Practice Location Address
First Line : 1776 W JOHN BEERS RD
Second Line :
City : STEVENSVILLE
State : MI
Zip : 49127-9409
Country : US
Telephone Number : 248-505-9844
Fax Number : 248-295-3787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2011
Last Update Date : 05/24/2016

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