Hagan, Susan E

Hagan, Susan E is an individual health care provider with primary practice located at 1919 State St Ste 340 , New Albany IN 47150-6807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hagan, Susan E can be contacted via phone (812) 945-5233.

Contact Information

Primary practice address
1919 State St Ste 340 New Albany IN 47150-6807
Fax: (812) 945-2804
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01092149A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 40340 Kentucky

Profile Details

NPI number 1124139241
LBN Legal business name Hagan, Susan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 12th, 2024 - about last year

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 1124139241 NPPES
Kentucky Other 50021335 PASSPORT - WS
Kentucky Other 000000596343 PASSPORT - WS
Kentucky MEDICAID 200941180 PASSPORT - WS
Kentucky MEDICAID 64125552 PASSPORT - WS
Kentucky Other 00533083 PASSPORT - WS
Kentucky Other 100205 PASSPORT - WS
Kentucky MEDICAID 2691930 PASSPORT - WS
Kentucky Other P00912082 PASSPORT - WS
Kentucky Other 000023034S PASSPORT - WS

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