Hagen, Patrick C

Hagen, Patrick C is an individual health care provider with primary practice located at 2000 Audubon Ave Suite C, Thibodaux LA 70301-5074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Hagen, Patrick C can be contacted via phone (985) 655-3687.

Contact Information

Primary practice address
2000 Audubon Ave Suite C Thibodaux LA 70301-5074
Phone: (985) 655-3687
Fax: (985) 447-8556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 019889 Louisiana

Profile Details

NPI number 1356319669
LBN Legal business name Hagen, Patrick C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356319669 NPPES
Louisiana MEDICAID 1908631

Popular Providers