Hagan, James M

Hagan, James M is an sole proprietor health care provider with primary practice located at 175 Park St , Lakeport CA 95453-4803. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hagan, James M can be contacted via phone (707) 263-9595.

Contact Information

Primary practice address
175 Park St Lakeport CA 95453-4803
Phone: (707) 263-9595
Fax: (707) 263-5576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E1538 California

Profile Details

NPI number 1134122880
LBN Legal business name Hagan, James M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Mar 21st, 2011 - about 14 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 1134122880 NPPES
California Other 480028898 RAILROAD MEDICARE

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