Hagstrom, J. Nathan
Hagstrom, J. Nathan is an individual health care provider with primary practice located at 2545 Shoenersville Road 3Rd Floor, Bethlehem PA 18017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Hagstrom, J. Nathan can be contacted via phone (610) 969-2540.Contact Information
Primary practice address
2545 Shoenersville Road 3Rd Floor
Bethlehem PA 18017
Phone: (610) 969-2540
Fax: (610) 969-3074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 036909 | Connecticut |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | MD054176L | Pennsylvania |
Profile Details
| NPI number | 1720052368 |
|---|---|
| LBN Legal business name | Hagstrom, J. Nathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Mar 11th, 2024 - about 2 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 | 1720052368 | NPPES |
| Connecticut | MEDICAID | 001369091 |
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