Hagans, Carlos A

Hagans, Carlos A is an individual health care provider with primary practice located at 502 Court St Ste 210 , Utica NY 13502-4233. He recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hagans, Carlos A can be contacted via phone (315) 507-5800.

Contact Information

Primary practice address
502 Court St Ste 210 Utica NY 13502-4233
Fax: (315) 507-5802
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 733603 New York

Profile Details

NPI number 1639665706
LBN Legal business name Hagans, Carlos A
Credentials BSN-RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2018
Last updated Jul 2nd, 2018 - about 6 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 1639665706 NPPES
New York MEDICAID B3261QM1300X

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