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Contact Information

MARK HACKER, P.A.-C.
1320 WEST MAIN ST
NEWARK, OH43055
 Phone: 220-564-4151
 Fax: 220-564-7153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARK HACKER · (Male)

NPI # 1861591836
Status Active
Credentials P.A.-C.
Entity Individual
Enumeration date 09/22/2006
Last updated 03/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 53306
  • OH License # 50.002469
  • OH License # 50002469RX
Hospital affiliation(s)
  • LICKING MEMORIAL HOSPITAL HOMECARE - (Acute Care)
    1320 WEST MAIN STREET
    NEWARK, OH 43055
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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