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Contact Information

HUGH G HACKLER JR, PA-C
4700 LAS VEGAS BLVD N
NELLIS AFB, NV89191-6600
 Phone: 702-653-2965
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HUGH G HACKLER JR · (Male)

NPI # 1609913292
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/31/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9102286
  • FL Medicaid 291462000
  • FL Other P00613664 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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