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John E. Hackman, M.D., P.A.

Details

Name: John E. Hackman, M.D., P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Dissolved
Date of registration: 11 Dec 1978 (46 years ago)
Date of dissolution: 30 May 2014
Entity Number: 000-054-117
Register Number: 000054117
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 1722 PINE STREET STE 1001MONTGOMERY, AL 36106
Principal Address ZIP Code: 36106

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053322396 2006-08-11 2020-08-22 1722 PINE ST, SUITE 1001, MONTGOMERY, AL, 361061103, US 1722 PINE ST, SUITE 1001, MONTGOMERY, AL, 361061103, US

Contacts

Phone +1 334-834-1663
Fax 3348341936

Authorized person

Name DR. JOHN E HACKMAN
Role OWNER
Phone 3348341663

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 7331
State AL
Is Primary Yes

Member

Name Role
HACKMAN, JOHN E Member

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State