Hagen, Mary Elizabeth
Hagen, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 5480 Nathan Ln N Suite 140, Plymouth MN 55442-1997. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Hagen, Mary Elizabeth can be contacted via phone (763) 607-4440.Contact Information
Primary practice address
5480 Nathan Ln N Suite 140
Plymouth MN 55442-1997
Phone: (763) 607-4440
Fax: (763) 553-2933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5043 | Minnesota |
Profile Details
| NPI number | 1629014378 |
|---|---|
| LBN Legal business name | Hagen, Mary Elizabeth |
| Credentials | MA/CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1629014378 | NPPES |
| Minnesota | Other | 46-00932 | MEDICA |
| Minnesota | Other | 318R0HA | MEDICA |
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