Hackenberg, Thomas A.

Hackenberg, Thomas A. is an individual health care provider with primary practice located at 3230 E Woodmen Rd Suite 210, Colorado Springs CO 80920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Hackenberg, Thomas A. can be contacted via phone (719) 578-5176.

Contact Information

Primary practice address
3230 E Woodmen Rd Suite 210 Colorado Springs CO 80920
Phone: (719) 578-5176
Fax: (719) 578-5188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35232 Colorado

Profile Details

NPI number 1659371524
LBN Legal business name Hackenberg, Thomas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jun 11th, 2013 - about 13 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 1659371524 NPPES
Colorado MEDICAID 01352327
Colorado Other 0970329
Colorado Other 440001691
Colorado Other 41366

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