Individual provider · Type 1 NPI

Justin Hackett, MD

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1902608631 Active

Practice location

1705 NE Pacific St Box 357470
Seattle, WA 98195-0001

Call (719) 337-6657 Map

Mailing address

24674 Willowby Ave
Eastpointe, MI 48021-1456

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902608631

Justin Hackett, MD's National Provider Identifier is 1902608631, issued on Mar 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Mar 25, 2025.