Hagedorn, David William

Hagedorn, David William is an sole proprietor health care provider with primary practice located at 100 Brewster Blvd Naval Hospital - Family Medicine, Camp Lejeune NC 28547. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Hagedorn, David William can be contacted via phone (910) 450-8805.

Contact Information

Primary practice address
100 Brewster Blvd Naval Hospital - Family Medicine Camp Lejeune NC 28547
Phone: (910) 450-8805
Fax: (910) 353-1763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1117 South Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00003898 Washington
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 32594 Texas
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3745 North Carolina

Profile Details

NPI number 1992906747
LBN Legal business name Hagedorn, David William
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated May 19th, 2011 - about 15 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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