Hagedorn, Joel S

Hagedorn, Joel S is an individual health care provider with primary practice located at 355 Nw Richmond Beach Rd , Shoreline WA 98177-3101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hagedorn, Joel S can be contacted via phone (206) 546-5181.

Contact Information

Primary practice address
355 Nw Richmond Beach Rd Shoreline WA 98177-3101
Phone: (206) 546-5181
Fax: (206) 546-6575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00026091 Washington

Profile Details

NPI number 1922083559
LBN Legal business name Hagedorn, Joel S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 5th, 2010 - about 14 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 1922083559 NPPES
Washington Other P00312217 RAILROAD MEDICARE
Washington MEDICAID 1053123 RAILROAD MEDICARE

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