Hagen, Mia Smucny

Hagen, Mia Smucny is an individual health care provider with primary practice located at 3800 Montlake Ave Ne , Seattle WA 98195-2203. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Hagen, Mia Smucny can be contacted via phone (206) 543-6420.

Contact Information

Primary practice address
3800 Montlake Ave Ne Seattle WA 98195-2203
Phone: (206) 543-6420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD60754993 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD60754993 Washington

Profile Details

NPI number 1659664811
LBN Legal business name Hagen, Mia Smucny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2011
Last updated Jan 8th, 2020 - about 6 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 1659664811 NPPES
Washington MEDICAID 1659664811

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