Hagaman, Michael S

Hagaman, Michael S is an sole proprietor health care provider with primary practice located at 250 Drillers Rd , Mountain Home AR 72653-5186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hagaman, Michael S can be contacted via phone (870) 492-5995.

Contact Information

Primary practice address
250 Drillers Rd Mountain Home AR 72653-5186
Phone: (870) 492-5995
Fax: (870) 508-8900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C8368 Arkansas

Profile Details

NPI number 1104822634
LBN Legal business name Hagaman, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Aug 5th, 2013 - about 11 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 1104822634 NPPES
Arkansas MEDICAID 127667001
Arkansas Other 080070839

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