Hagedorn, Justin D

Hagedorn, Justin D is an sole proprietor health care provider with primary practice located at 320 N Main St , Wichita KS 67202-1501. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Hagedorn, Justin D can be contacted via phone (316) 425-7717.

Contact Information

Primary practice address
320 N Main St Wichita KS 67202-1501
Phone: (316) 425-7717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1225676679
LBN Legal business name Hagedorn, Justin D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2019
Last updated Nov 30th, 2021 - about 4 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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