Hagedorn, Catherine A

Hagedorn, Catherine A is an individual health care provider with primary practice located at 1520 W 53Rd St Suite 2, Davenport IA 52806-2459. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Hagedorn, Catherine A can be contacted via phone (563) 421-3800.

Contact Information

Primary practice address
1520 W 53Rd St Suite 2 Davenport IA 52806-2459
Phone: (563) 421-3800
Fax: (563) 421-3810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 001550 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001550 Iowa

Profile Details

NPI number 1770552051
LBN Legal business name Hagedorn, Catherine A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 20th, 2021 - about 3 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 1770552051 NPPES
Iowa Other 1770552051 BLUE SHIELD

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