<Unavail>

LBN: Terry M. Hagan Md
<Unavail> is an health care organization with primary practice located at 4010 Dupont Cir Ste 202 , Louisville KY 40207-4812. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Terry M. Hagan Md can be contacted via phone (502) 326-3011, or through Hagan, John via phone (502) 326-3011.

Contact Information

Primary practice address
4010 Dupont Cir Ste 202 Louisville KY 40207-4812
Phone: (502) 326-3011
Fax: (502) 324-4577
Website:
Map and Directions
Authorized official contact:
Name: Hagan, John
Phone: (502) 326-3011

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 21595 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1396260527
LBN Legal business name Terry M. Hagan Md
DBA Doing business as <Unavail>
Authorized official Hagan, John
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396260527 NPPES
Kentucky MEDICAID 64215957

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