Individual
ROBERT HACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
904 MICHIGAN AVE, MAUMEE, OH 43537-3506
(419) 897-9128
Mailing address
904 MICHIGAN AVE, MAUMEE, OH 43537-3506
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401191880111
OH
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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