Hagen, Brenda L

Hagen, Brenda L is an individual health care provider with primary practice located at 555 E Cheves St , Florence SC 29506-2617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Hagen, Brenda L can be contacted via phone (843) 661-6215.

Contact Information

Primary practice address
555 E Cheves St Florence SC 29506-2617
Phone: (843) 661-6215
Fax: (919) 873-9821
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 34004110 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 36203 South Carolina

Profile Details

NPI number 1518935261
LBN Legal business name Hagen, Brenda L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 16th, 2016 - about 10 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 1518935261 NPPES
Ohio MEDICAID 0636162

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