Hagedorn, Ann

Hagedorn, Ann is an individual health care provider with primary practice located at 200 Health Care Dr , Greenville IL 62246-1154. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Hagedorn, Ann can be contacted via phone (618) 664-1230.

Contact Information

Primary practice address
200 Health Care Dr Greenville IL 62246-1154
Phone: (618) 664-1230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036106952 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036106952 Illinois

Profile Details

NPI number 1245237825
LBN Legal business name Hagedorn, Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated May 10th, 2019 - about 7 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 1245237825 NPPES
Illinois MEDICAID 036106952
Illinois MEDICAID 1245237825

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