Individual
FAITH ALICE HACKETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
844 RITCHIE HWY, SUITE 206, SEVERNA PARK, MD 21146
(410) 647-8300
(410) 315-8444
Mailing address
844 RITCHIE HWY, SUITE 206, SEVERNA PARK, MD 21146
(410) 647-8300
(410) 315-8444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D32426
MD
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D32426
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03794
AMERICAID
—
01
—
0553696119
UHC HMO
—
01
—
06704
PHN
—
01
—
0H64
CBCBS
MD
01
—
11120
BS POS
—
01
—
38000
JHEHP
MD
01
—
38000
EHP
—
01
—
4077FA
MC
—
01
—
4338237
AETNA
—
01
—
726556
US AETNA (HMO)
—
01
—
811265
MD/OP/ALLIANCE
—
01
—
OH64
BS
—
01
—
T5930001
BSFED
—
01
—
T593001
BLUE CHOICE
—
Enumeration date
02/03/2006
Last updated
09/11/2025
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