Hagedorn, Jeffrey C

Hagedorn, Jeffrey C is an individual health care provider with primary practice located at 2138 25Th St Ste F , Columbus IN 47201-3241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Hagedorn, Jeffrey C can be contacted via phone (812) 376-3100.

Contact Information

Primary practice address
2138 25Th St Ste F Columbus IN 47201-3241
Phone: (812) 376-3100
Fax: (812) 378-6191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01028132A Indiana

Profile Details

NPI number 1679529879
LBN Legal business name Hagedorn, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 8th, 2024 - about 7 months 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 1679529879 NPPES
Indiana Other P01163092 RAILROAD MEDICARE
Indiana Other 000000990875 RAILROAD MEDICARE
Indiana MEDICAID 100138970 RAILROAD MEDICARE

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