Hagen, Dan John
Hagen, Dan John is an individual health care provider with primary practice located at 808 Lake St S , Forest Lake MN 55025-2614. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Hagen, Dan John can be contacted via phone (651) 464-5518.Contact Information
Primary practice address
808 Lake St S
Forest Lake MN 55025-2614
Phone: (651) 464-5518
Fax: (651) 464-1513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 113270 | Minnesota |
Profile Details
| NPI number | 1609216019 |
|---|---|
| LBN Legal business name | Hagen, Dan John |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2013 |
| Last updated | Jun 29th, 2013 - about 13 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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