Hagen, Bradley John

Hagen, Bradley John is an individual health care provider with primary practice located at 8651 John J Kingman Rd Bldg 2321 , Fort Belvoir VA 22060-6200. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hagen, Bradley John can be contacted via phone (571) 339-8401.

Contact Information

Primary practice address
8651 John J Kingman Rd Bldg 2321 Fort Belvoir VA 22060-6200
Phone: (571) 339-8401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN.00203682 Colorado
Dental Providers / General Practice 1223G0001X 0401417733 Virginia

Profile Details

NPI number 1316426752
LBN Legal business name Hagen, Bradley John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2018
Last updated Oct 29th, 2021 - about 3 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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