Provider Demographics
NPI:1063583235
Name:HACKETT, DONALD FRANCIS (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:FRANCIS
Last Name:HACKETT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 RANCHO VISTA BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-4821
Mailing Address - Country:US
Mailing Address - Phone:661-274-4357
Mailing Address - Fax:661-538-2024
Practice Address - Street 1:3011 RANCHO VISTA BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-4821
Practice Address - Country:US
Practice Address - Phone:661-274-4357
Practice Address - Fax:661-538-2024
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18432111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC18432Medicare PIN