Hagadorn, Scot E

Hagadorn, Scot E is an sole proprietor health care provider with primary practice located at 1701 S Creasy Ln , Lafayette IN 47905-4972. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Hagadorn, Scot E can be contacted via phone (765) 502-4917.

Contact Information

Primary practice address
1701 S Creasy Ln Lafayette IN 47905-4972
Phone: (765) 502-4917
Fax: (765) 502-4023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 01042933 Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01042933A Indiana

Profile Details

NPI number 1134143852
LBN Legal business name Hagadorn, Scot E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Oct 20th, 2023 - about last year

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 1134143852 NPPES
Indiana MEDICAID 100386000A

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