Hagan, James Andrew

Hagan, James Andrew is an individual health care provider with primary practice located at 500 Indiana Ave , Winslow AZ 86047-2169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hagan, James Andrew can be contacted via phone (928) 289-4646.

Contact Information

Primary practice address
500 Indiana Ave Winslow AZ 86047-2169
Phone: (928) 289-4646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36854 Arizona

Profile Details

NPI number 1649458423
LBN Legal business name Hagan, James Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2008
Last updated Feb 5th, 2015 - about 9 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 1649458423 NPPES
Arizona MEDICAID 1427335140
Arizona Other 8HI949
Arizona MEDICAID 407506

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