Hacker, Clint Wes

Hacker, Clint Wes is an individual health care provider with primary practice located at 6202 82Nd St , Lubbock TX 79424-3691. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hacker, Clint Wes can be contacted via phone (806) 687-8008.

Contact Information

Primary practice address
6202 82Nd St Lubbock TX 79424-3691
Phone: (806) 687-8008
Fax: (806) 687-8009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1149186 Texas

Profile Details

NPI number 1619971009
LBN Legal business name Hacker, Clint Wes
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Nov 15th, 2012 - about 14 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 1619971009 NPPES
Texas Other 171677100 FIRSTCARE
Texas MEDICAID 219905101 FIRSTCARE
Texas MEDICAID 219905102 FIRSTCARE
Texas Other 8T3268 FIRSTCARE
Texas Other P00451766 FIRSTCARE

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