Hagen, Brenda L
Hagen, Brenda L is an individual health care provider with primary practice located at 555 E Cheves St , Florence SC 29506-2617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Hagen, Brenda L can be contacted via phone (843) 661-6215.Contact Information
Primary practice address
555 E Cheves St
Florence SC 29506-2617
Phone: (843) 661-6215
Fax: (919) 873-9821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34004110 | Ohio |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 36203 | South Carolina |
Profile Details
| NPI number | 1518935261 |
|---|---|
| LBN Legal business name | Hagen, Brenda L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Nov 16th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518935261 | NPPES |
| Ohio | MEDICAID | 0636162 |
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