Hackett, Faith Alice

Hackett, Faith Alice is an individual health care provider with primary practice located at 844 Ritchie Hwy Suite 206, Severna Park MD 21146. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Hackett, Faith Alice can be contacted via phone (410) 647-8300.

Contact Information

Primary practice address
844 Ritchie Hwy Suite 206 Severna Park MD 21146
Phone: (410) 647-8300
Fax: (410) 315-8444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D32426 Maryland
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X D32426 Maryland

Profile Details

NPI number 1154393213
LBN Legal business name Hackett, Faith Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1154393213 NPPES
Other 03794 AMERICAID
Other 0H64 AMERICAID
Other 11120 AMERICAID
Other OH64 AMERICAID
Other 0553696119 AMERICAID
Other 06704 AMERICAID
Other 726556 AMERICAID
Other 811265 AMERICAID
Other T593001 AMERICAID
Other 4077FA AMERICAID
Other 38000 AMERICAID
Other 38000 AMERICAID
Other 4338237 AMERICAID
Other T5930001 AMERICAID
Other 38000 AMERICAID

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