Hackett, Crystal
Hackett, Crystal is an individual health care provider with primary practice located at 679 E County Line Rd , Greenwood IN 46143-1049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hackett, Crystal can be contacted via phone (317) 859-7222.Contact Information
Primary practice address
679 E County Line Rd
Greenwood IN 46143-1049
Phone: (317) 859-7222
Fax: (317) 859-7220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71009900A | Indiana |
Profile Details
| NPI number | 1760021661 |
|---|---|
| LBN Legal business name | Hackett, Crystal |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2019 |
| Last updated | Jan 19th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760021661 | NPPES |
| Indiana | Other | 677730 | GROUP PTAN |
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