Hagan, Tyler K

Hagan, Tyler K is an individual health care provider with primary practice located at 612A Mccarthy Blvd , New Bern NC 28562-5231. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Hagan, Tyler K can be contacted via phone (252) 633-3400.

Contact Information

Primary practice address
612A Mccarthy Blvd New Bern NC 28562-5231
Phone: (252) 633-3400
Fax: (252) 633-9338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 617 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 617 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 617 North Carolina

Profile Details

NPI number 1588955231
LBN Legal business name Hagan, Tyler K
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2011
Last updated Aug 9th, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588955231 NPPES
North Carolina Other 1457601601 GROUP NPI
North Carolina MEDICAID 1720489818 GROUP NPI
North Carolina Other 1588955231 GROUP NPI

Popular Providers