Hagan, David John
Hagan, David John is an individual health care provider with primary practice located at 222 N Sangamon Ave , Gibson City IL 60936-1345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hagan, David John can be contacted via phone (217) 784-8148.Contact Information
Primary practice address
222 N Sangamon Ave
Gibson City IL 60936-1345
Phone: (217) 784-8148
Fax: (217) 784-8160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036066538 | Illinois |
Profile Details
| NPI number | 1467433557 |
|---|---|
| LBN Legal business name | Hagan, David John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Aug 11th, 2020 - about 4 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 | 1467433557 | NPPES |
| Other | 2715526 | BCBS | |
| Other | 143882 | BCBS |
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