Hagedorn, Nicole Annette

Hagedorn, Nicole Annette is an sole proprietor health care provider with primary practice located at 2680 Henderson Dr Ste 5 , Jacksonville NC 28546-5297. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Hagedorn, Nicole Annette can be contacted via phone (910) 355-0442.

Contact Information

Primary practice address
2680 Henderson Dr Ste 5 Jacksonville NC 28546-5297
Phone: (910) 355-0442
Fax: (910) 355-0443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 78537 North Carolina

Profile Details

NPI number 1619973997
LBN Legal business name Hagedorn, Nicole Annette
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Jul 21st, 2022 - about 2 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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