Hageman, Joann

Hageman, Joann is an individual health care provider with primary practice located at 8801 S 101St East Ave , Tulsa OK 74133-5716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hageman, Joann can be contacted via phone (918) 294-6911.

Contact Information

Primary practice address
8801 S 101St East Ave Tulsa OK 74133-5716
Phone: (918) 294-6911
Fax: (918) 294-4759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1151 Nebraska

Profile Details

NPI number 1760454268
LBN Legal business name Hageman, Joann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 13th, 2007 - about 18 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 1760454268 NPPES
Oklahoma MEDICAID 200093200A
Oklahoma MEDICAID 470748011-12

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