Provider Demographics
NPI:1063204436
Name:HACKNEY, ALEC JAMES (CPFS)
Entity type:Individual
Prefix:
First Name:ALEC
Middle Name:JAMES
Last Name:HACKNEY
Suffix:
Gender:M
Credentials:CPFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 W COLFAX AVE # B071
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2218
Mailing Address - Country:US
Mailing Address - Phone:303-472-0306
Mailing Address - Fax:
Practice Address - Street 1:3200 W COLFAX AVE # B071
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2218
Practice Address - Country:US
Practice Address - Phone:303-472-0306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty