Provider Demographics
NPI:1518275825
Name:PATRICK J HACKETT LLC
Entity Type:Organization
Organization Name:PATRICK J HACKETT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HACKETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-230-2225
Mailing Address - Street 1:2591 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3021
Mailing Address - Country:US
Mailing Address - Phone:203-230-2225
Mailing Address - Fax:203-248-2340
Practice Address - Street 1:2591 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3021
Practice Address - Country:US
Practice Address - Phone:203-230-2225
Practice Address - Fax:203-248-2340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001302111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty