Hagan, Warren Eugene
Hagan, Warren Eugene is an individual health care provider with primary practice located at 1132 Broadway St Suite 200, Quincy IL 62301-2819. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Hagan, Warren Eugene can be contacted via phone (217) 224-6423.Contact Information
Primary practice address
1132 Broadway St Suite 200
Quincy IL 62301-2819
Phone: (217) 224-6423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | R6867 | Missouri |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | R6867 | Missouri |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 036141011 | Illinois |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036141011 | Illinois |
Profile Details
| NPI number | 1164458105 |
|---|---|
| LBN Legal business name | Hagan, Warren Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Sep 7th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164458105 | NPPES |
| Missouri | MEDICAID | 1164458105 |
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