Haganman, Chris R
Haganman, Chris R is an individual health care provider with primary practice located at 815 38Th St Se , Cedar Rapids IA 52403-4300. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / General Practice is his primary health care specialty. Haganman, Chris R can be contacted via phone (319) 365-0534.Contact Information
Primary practice address
815 38Th St Se
Cedar Rapids IA 52403-4300
Phone: (319) 365-0534
Fax: (319) 297-7417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7446 | Iowa |
| Dental Providers / Prosthodontics | 1223P0700X | 7446 | Iowa |
Profile Details
| NPI number | 1003943143 |
|---|---|
| LBN Legal business name | Haganman, Chris R |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1003943143 | NPPES |
| Iowa | MEDICAID | 0280362 |
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