Faith Alice Hackett
Pediatrician Adolescent Medicine
844 Ritchie Hwy Suite 206
Severna Park
, Maryland 21146
Faith Alice Hackett
Pediatrician Adolescent Medicine
844 Ritchie Hwy Suite 206
Severna Park
, Maryland 21146
(410) 315-8444
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Faith Alice Hackett
- 844 Ritchie Hwy Suite 206
- Severna Park, MD
- Zip : 21146
- Fax : (410) 315-8444
- Phone : (410) 647-8300
Second Address
- Faith Alice Hackett
- 844 Ritchie Hwy Suite 206
- Severna Park, MD
- Zip : 21146
- Fax : (410) 315-8444
- Phone : (410) 647-8300
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | D32426 | MD |
| N | 2080A0000X | Adolescent Medicine | D32426 | MD |
National Provider Identifier
| NPI | 1154393213 |
|---|---|
| Provider Name | Faith Alice Hackett |
| First Address | Severna Park, MD 21146 |
| Second Address | Severna Park, MD 21146 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03794 | AMERICAID (01) | |
| 0553696119 | UHC HMO (01) | |
| 06704 | PHN (01) | |
| 0H64 | CBCBS (01) | MD |
| 11120 | BS POS (01) | |
| 38000 | EHP (01) | |
| 38000 | JHEHP (01) | MD |
| 38000 | PRIORITY (01) | |
| 4077FA | MC (01) | |
| 4338237 | AETNA (01) | |
| 726556 | US AETNA (HMO) (01) | |
| 811265 | MD/OP/ALLIANCE (01) | |
| B70724 | (02) | |
| OH64 | BS (01) | |
| T5930001 | BSFED (01) | |
| T593001 | BLUE CHOICE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.