Hagan, Clayton Patrick

Hagan, Clayton Patrick is an individual health care provider with primary practice located at 5454 Hohman Ave , Hammond IN 46320-1931. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hagan, Clayton Patrick can be contacted via phone (219) 933-2270.

Contact Information

Primary practice address
5454 Hohman Ave Hammond IN 46320-1931
Phone: (219) 933-2270
Fax: (219) 852-2515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28161888A Indiana

Profile Details

NPI number 1831185024
LBN Legal business name Hagan, Clayton Patrick
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Nov 16th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831185024 NPPES
Indiana MEDICAID 200073800

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