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Individual

DR. PATRICK JOHN HACKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2862 WHITNEY AVE, HAMDEN, CT 06518
(203) 230-2225
(203) 248-2340
Mailing address
2862 WHITNEY AVE, HAMDEN, CT 06518
(203) 230-2225
(203) 248-2340

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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