Hagedorn, David K
Hagedorn, David K is an individual health care provider with primary practice located at 3315 Mcintosh Cir , Joplin MO 64804-3649. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Hagedorn, David K can be contacted via phone (417) 347-4800.Contact Information
Primary practice address
3315 Mcintosh Cir
Joplin MO 64804-3649
Phone: (417) 347-4800
Fax: (417) 347-4033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2002019238 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2002019238 | Missouri |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 2002019238 | Missouri |
Profile Details
| NPI number | 1346283892 |
|---|---|
| LBN Legal business name | Hagedorn, David K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Mar 28th, 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 | 1346283892 | NPPES |
| Kansas | MEDICAID | 100424830D | |
| Kansas | MEDICAID | 100846000A | |
| Kansas | MEDICAID | 208358606 |
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