Bruce P Hackworth (NPI# 1063448918, PAC ID# 2062456031) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1063448918 |
PAC ID by PECOS | 2062456031 |
Professional Enrollment ID | I20050610000813 |
Full Name | Bruce P Hackworth |
Address |
811 Ship St 4b Saint Joseph MI 49085-1171 |
Gender | M |
Credential | CP |
Graduation Year | 1996 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
811 Ship St, 4b, Saint Joseph, MI 49085-1171 |
Street Address |
811 SHIP ST 4B |
City | SAINT JOSEPH |
State | MI |
Zip | 49085-1171 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrew Paul Bringard | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
Heather L Cotter | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
Thomas E Wilson | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
Erik T Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
Heather M Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
Gary Paul Ludwig | Optometry | 1101 Main St, Saint Joseph, MI 49085-1509 | |
Janel L Benore | Physical Therapy | 616 Main St, Saint Joseph, MI 49085-1595 | |
Susan L Startup | Clinical Social Worker | 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085-1615 | |
Craig F Sherwood | Podiatry | 1901 Niles Ave, Saint Joseph, MI 49085-1615 | |
Eric K Peet | Chiropractic | 1818 Langley Ave, Saint Joseph, MI 49085-1737 | |
Find all physicians in zip 49085 |
City | SAINT JOSEPH |
Zip Code | 49085 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | SAINT JOSEPH + PSYCHOLOGIST, CLINICAL |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.