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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1134143852 | NPPES |
| Indiana | MEDICAID | 100386000A |
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