Hagan, John
Hagan, John is an individual health care provider with primary practice located at 827 Linden Ave , Baltimore MD 21201-4606. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as his primary health care specialty. Hagan, John can be contacted via phone (410) 328-8141.Contact Information
Primary practice address
827 Linden Ave
Baltimore MD 21201-4606
Phone: (410) 328-8141
Fax: (410) 328-0177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | R079848 | Maryland |
Profile Details
| NPI number | 1740489970 |
|---|---|
| LBN Legal business name | Hagan, John |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | May 28th, 2019 - about 5 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 | 1740489970 | NPPES |
| Maryland | Other | S062-0376 | BLUE CROSS REGIONAL |
| Maryland | MEDICAID | 419031900 | BLUE CROSS REGIONAL |
| Maryland | Other | 960548-01 & 02 | BLUE CROSS REGIONAL |
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