Hagen, Eric Michael

Hagen, Eric Michael is an sole proprietor health care provider with primary practice located at 2563 Sycamore Rd , Dekalb IL 60115-2051. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Hagen, Eric Michael can be contacted via phone (815) 748-2666.

Contact Information

Primary practice address
2563 Sycamore Rd Dekalb IL 60115-2051
Phone: (815) 748-2666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.032150 Illinois
Dental Providers / Dentist 122300000X 019.032150 Illinois

Profile Details

NPI number 1407415995
LBN Legal business name Hagen, Eric Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2019
Last updated Jun 10th, 2019 - about 7 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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