Allen Joel Hackett
Individual provider Active NPI Home Modifications Contractor · Dolores, CO
NPI 1255992103 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1255992103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- Practice address
- 18664 Road 22.6
Dolores, CO 81323-8603 - Phone
- (970) 529-6930
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Yes |
Addresses
Primary practice location
18664 Road 22.6
Dolores, CO 81323-8603
Mailing address
18664 Road 22.6
Dolores, CO 81323-8603
Phone (970) 529-6930
Other providers in Dolores, CO
- Dolores School District Re-4a
- Amanda Dreier
- Jaycee Gallaher
- Kelly Glenn
- Siena K Gumbiner
- Laura Hall
- Marjorie Ellen Hill
- Patricia Anne Hubley
- Hummingbird Behavioral Health LLC
- Hummingbird Behavioral Health LLC
All providers in Dolores, CO · Home Modifications Contractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.