Hagan, Dennis Keith
Hagan, Dennis Keith is an sole proprietor health care provider with primary practice located at 1240 E John Rowan Blvd , Bardstown KY 40004-2066. He recently has only one registered license in Suppliers / Customized Equipment, which is considered as his primary health care specialty. Hagan, Dennis Keith can be contacted via phone (502) 349-7119.Contact Information
Primary practice address
1240 E John Rowan Blvd
Bardstown KY 40004-2066
Phone: (502) 349-7119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1144277468 |
|---|---|
| LBN Legal business name | Hagan, Dennis Keith |
| Credentials | COBBLER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Jan 20th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144277468 | NPPES |
| Kentucky | MEDICAID | 90011388 | |
| Kentucky | Other | 000000362306 | |
| Kentucky | Other | 50009643 |
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