Hagan, Keith Richard
Hagan, Keith Richard is an sole proprietor health care provider with primary practice located at 2500 English Creek Ave Ste 1300 , Egg Harbor Township NJ 08234-5598. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hagan, Keith Richard can be contacted via phone (800) 321-9999.Contact Information
Primary practice address
2500 English Creek Ave Ste 1300
Egg Harbor Township NJ 08234-5598
Phone: (800) 321-9999
Fax: (609) 677-7000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00608400 | New Jersey |
Profile Details
| NPI number | 1861077133 |
|---|---|
| LBN Legal business name | Hagan, Keith Richard |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2021 |
| Last updated | Mar 17th, 2021 - about 5 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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