Hackett, Brian Keith

Hackett, Brian Keith is an sole proprietor health care provider with primary practice located at 3425 Ashurst Dr , Valdosta GA 31605-5205. He recently has only one registered license in Suppliers / Customized Equipment, which is considered as his primary health care specialty. Hackett, Brian Keith can be contacted via phone (229) 834-1034.

Contact Information

Primary practice address
3425 Ashurst Dr Valdosta GA 31605-5205
Fax: (866) 493-9555
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X Georgia

Profile Details

NPI number 1720233034
LBN Legal business name Hackett, Brian Keith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2008
Last updated Dec 1st, 2008 - about 18 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.

Request for update

Popular Providers