Hagberg, Donna Joan

Hagberg, Donna Joan is an sole proprietor health care provider with primary practice located at 31 River Rd Suite 102, Cos Cob CT 06807-2152. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Hagberg, Donna Joan can be contacted via phone (203) 742-1150.

Contact Information

Primary practice address
31 River Rd Suite 102 Cos Cob CT 06807-2152
Fax: (203) 489-3411
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1578691465
LBN Legal business name Hagberg, Donna Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Jan 15th, 2014 - about 11 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 1578691465 NPPES
Connecticut Other 010032695CT05 ANTHEM BLUE CROSS CT NUMB

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