Hagstrom, Alan Kyle

Hagstrom, Alan Kyle is an individual health care provider with primary practice located at 1415 Panther Ln , Naples FL 34109-7874. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Hagstrom, Alan Kyle can be contacted via phone (239) 404-3379.

Contact Information

Primary practice address
1415 Panther Ln Naples FL 34109-7874
Phone: (239) 404-3379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 23903 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME114651 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME114651 Florida

Profile Details

NPI number 1619947801
LBN Legal business name Hagstrom, Alan Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 21st, 2022 - about 3 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 1619947801 NPPES
Arizona MEDICAID 436601

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