Active NPIIndividual providerSole proprietor

Mr. Michael J Hackett, ATR CSCS

Specialist/Technologist, Athletic Trainer in Wall Township, New Jersey

NPI Number1699934042
Practice location
1630 18TH Ave, Wall Township, NJ 07719-3744
Fax
—
Last updated
June 2, 2008

Michael J Hackett is a Specialist/Technologist, Athletic Trainer based in Wall Township, NJ. Michael J Hackett practices in Wall Township, NJ and has the professional credentials of ATR CSCS. The NPI Number for Michael J Hackett is 1699934042 and holds a License No. 25MT00011500 (NJ). The current practice location address for Michael J Hackett is 1630 18TH Ave, Wall Township, NJ 07719-3744 and can be reached out via phone at 732-556-2066.

Provider Profile Details

NPI Number
1699934042
Provider Name
Michael J Hackett
Credential
ATR CSCS
Provider Entity Type
Individual
Gender
Male
Address
1630 18TH Ave, Wall Township, NJ 07719-3744
Phone Number
732-556-2066
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
June 2, 2008
Last Update Date
June 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1630 18TH Ave
Wall Township, NJ 07719-3744
Zip
07719-3744
Phone Number
732-556-2066
Wall Township, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
Po Box 1199
Wall High School
Wall, NJ 07719
City
Wall
State
NJ
Zip
07719
Phone Number
732-556-2066

License Information

License Number
25MT00011500
License State
NJ
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Michael J Hackett, ATR CSCS?

The NPI number of Mr. Michael J Hackett, ATR CSCS is 1699934042. It was assigned on June 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael J Hackett, ATR CSCS?

Mr. Michael J Hackett, ATR CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00011500.

Where does Mr. Michael J Hackett, ATR CSCS practice?

The practice location is 1630 18TH Ave, Wall Township, NJ 07719-3744. The office can be reached at 732-556-2066 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699934042 directly on the NPPES registry website.

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