Hagan, Matthew

Hagan, Matthew is an sole proprietor health care provider with primary practice located at 1855 Madison Ave , Idaho Falls ID 83404-1212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Hagan, Matthew can be contacted via phone (208) 881-5351.

Contact Information

Primary practice address
1855 Madison Ave Idaho Falls ID 83404-1212
Phone: (208) 881-5351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036145857 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X MT201381 Pennsylvania
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X M-15773 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X M-15773 Idaho

Profile Details

NPI number 1477800134
LBN Legal business name Hagan, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2012
Last updated Jun 23rd, 2021 - about 3 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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