Hackett, Jason Vanvliet

Hackett, Jason Vanvliet is an individual health care provider with primary practice located at 7915 Lake Manassas Dr Ste 102 , Gainesville VA 20155-3259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hackett, Jason Vanvliet can be contacted via phone (703) 754-4101.

Contact Information

Primary practice address
7915 Lake Manassas Dr Ste 102 Gainesville VA 20155-3259
Phone: (703) 754-4101
Fax: (703) 754-1105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101237490 Virginia

Profile Details

NPI number 1255327128
LBN Legal business name Hackett, Jason Vanvliet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Sep 28th, 2022 - about 3 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 1255327128 NPPES
District of Columbia Other F532 0007 CAREFIRST
District of Columbia Other 178868 CAREFIRST
District of Columbia Other 7644715 CAREFIRST
District of Columbia Other 3830222 CAREFIRST

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