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Individual
DR. PATRICK JOHN HACKETT
Active
Individual
DR. PATRICK JOHN HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001302
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004200680
—
CT
01
—
050001302CT01
BLUECROSS/BLUESHIELD
CT
01
—
350048874
RAILROAD MEDICARE
CT
01
—
4609400
AETNA
CT
01
—
P1974477
OXFORD
CT
Enumeration date
09/28/2006
Last updated
06/30/2016
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