Hagan, Robert R

Hagan, Robert R is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 611A, Saint Louis MO 63141-8232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Hagan, Robert R can be contacted via phone (314) 251-6587.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 611A Saint Louis MO 63141-8232
Phone: (314) 251-6587
Fax: (314) 251-4775
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2002014082 Missouri

Profile Details

NPI number 1558303511
LBN Legal business name Hagan, Robert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 27th, 2008 - 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 1558303511 NPPES
Missouri Other P00343197 RR MEDICARE

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