Hagan, Phillip F.

Hagan, Phillip F. is an individual health care provider with primary practice located at 9828 E Shannon Woods Cir # 100 , Wichita KS 67226-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Hagan, Phillip F. can be contacted via phone (316) 631-1600.

Contact Information

Primary practice address
9828 E Shannon Woods Cir # 100 Wichita KS 67226-4100
Phone: (316) 631-1600
Fax: (316) 631-1676
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 04-22644 Kansas

Profile Details

NPI number 1013955053
LBN Legal business name Hagan, Phillip F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Oct 18th, 2023 - about 2 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 1013955053 NPPES
Kansas Other 103800 BLUE SHIELD
Kansas MEDICAID 200265750A BLUE SHIELD
Kansas Other 359811 BLUE SHIELD
Kansas Other P00158947 BLUE SHIELD
Kansas Other 00S6749 BLUE SHIELD

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