Hagen, David J
Hagen, David J is an sole proprietor health care provider with primary practice located at 327 Ne 5Th Ave , Camas WA 98607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hagen, David J can be contacted via phone (360) 834-3141.Contact Information
Primary practice address
327 Ne 5Th Ave
Camas WA 98607
Phone: (360) 834-3141
Fax: (360) 834-2334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00023984 | Washington |
Profile Details
| NPI number | 1588747000 |
|---|---|
| LBN Legal business name | Hagen, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2006 |
| Last updated | Jun 25th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588747000 | NPPES |
| Washington | MEDICAID | 1056522 |
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