Hatfield, Agnieszka S
Hatfield, Agnieszka S is an individual health care provider with primary practice located at 11850 Blackfoot St Nw Ste 130 , Coon Rapids MN 55433-2583. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Hatfield, Agnieszka S can be contacted via phone (763) 236-1900.Contact Information
Primary practice address
11850 Blackfoot St Nw Ste 130
Coon Rapids MN 55433-2583
Phone: (763) 236-1900
Fax: (763) 236-9010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | K2093 | Texas |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 44333 | Minnesota |
Profile Details
| NPI number | 1174637060 |
|---|---|
| LBN Legal business name | Hatfield, Agnieszka S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Nov 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174637060 | NPPES |
| Minnesota | MEDICAID | 180700500 | |
| Minnesota | Other | 7581471 | |
| Minnesota | Other | 180700500 | |
| Minnesota | Other | 1300140 | |
| Minnesota | Other | 131146 | |
| Minnesota | Other | 131MOHA | |
| Minnesota | Other | C03935 | |
| Minnesota | Other | 92321 |
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