Hackett, Thomas Everett
Hackett, Thomas Everett is an individual health care provider with primary practice located at 3349 Hwy 138 Bldg B Suite F, Wall Township NJ 07719-9671. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Hackett, Thomas Everett can be contacted via phone (732) 280-5464.Contact Information
Primary practice address
3349 Hwy 138 Bldg B Suite F
Wall Township NJ 07719-9671
Phone: (732) 280-5464
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25MB04815300 | New Jersey |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 25MB04815300 | New Jersey |
Profile Details
| NPI number | 1619069424 |
|---|---|
| LBN Legal business name | Hackett, Thomas Everett |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Apr 25th, 2024 - about last year |
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 | 1619069424 | NPPES |
| New Jersey | MEDICAID | 6734502 | |
| New Jersey | Other | 980000256 |
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