Hagen, Shawn D
Hagen, Shawn D is an individual health care provider with primary practice located at 19707 Scriber Lake Rd Ste 103, Lynnwood WA 98036-6157. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hagen, Shawn D can be contacted via phone (425) 672-1822.Contact Information
Primary practice address
19707 Scriber Lake Rd Ste 103
Lynnwood WA 98036-6157
Phone: (425) 672-1822
Fax: (425) 744-0996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1795 | Washington |
Profile Details
| NPI number | 1144204140 |
|---|---|
| LBN Legal business name | Hagen, Shawn D |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Sep 14th, 2017 - about 9 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 | 1144204140 | NPPES |
| Washington | MEDICAID | 2004950 |
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