Hagadorn, Michael L

Hagadorn, Michael L is an individual health care provider with primary practice located at 75 Beekman St , Plattsburgh NY 12901-1438. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hagadorn, Michael L can be contacted via phone (518) 561-2000.

Contact Information

Primary practice address
75 Beekman St Plattsburgh NY 12901-1438
Phone: (518) 561-2000
Fax: (518) 561-0881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008392-1 New York

Profile Details

NPI number 1760559546
LBN Legal business name Hagadorn, Michael L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 17th, 2007 - about 17 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 1760559546 NPPES
New York Other 114406 VALUE OPTIONS
New York Other 90031 VALUE OPTIONS
New York Other SE08R10010 VALUE OPTIONS
New York Other 000490094001 VALUE OPTIONS
New York MEDICAID 02292102 VALUE OPTIONS

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