Hagan, Svetlana V

Hagan, Svetlana V is an individual health care provider with primary practice located at 885 W Connexion Way Ste 200 , Columbia City IN 46725-1045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hagan, Svetlana V can be contacted via phone (260) 248-9260.

Contact Information

Primary practice address
885 W Connexion Way Ste 200 Columbia City IN 46725-1045
Phone: (260) 248-9260
Fax: (260) 248-9279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01069906A Indiana

Profile Details

NPI number 1124255153
LBN Legal business name Hagan, Svetlana V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Oct 20th, 2022 - about 4 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 1124255153 NPPES
Indiana Other 000000769229 ANTHEM
Indiana MEDICAID 201026380 ANTHEM

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