Hagen, Jeffrey Michael

Hagen, Jeffrey Michael is an individual health care provider with primary practice located at 6800 Montgomery Blvd Ne Suite A, Albuquerque NM 87109-1405. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hagen, Jeffrey Michael can be contacted via phone (505) 881-1130.

Contact Information

Primary practice address
6800 Montgomery Blvd Ne Suite A Albuquerque NM 87109-1405
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DD3815 New Mexico

Profile Details

NPI number 1578609921
LBN Legal business name Hagen, Jeffrey Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Apr 11th, 2014 - about 10 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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