Hagen, John M
Hagen, John M is an individual health care provider with primary practice located at 6435 North Ave , Oak Park IL 60302-1013. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hagen, John M can be contacted via phone (708) 848-7766.Contact Information
Primary practice address
6435 North Ave
Oak Park IL 60302-1013
Phone: (708) 848-7766
Fax: (708) 848-5577
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 038007932 | Illinois |
Profile Details
NPI number | 1245307552 |
---|---|
LBN Legal business name | Hagen, John M |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 29th, 2006 |
Last updated | Oct 20th, 2009 - about 16 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 | 1245307552 | NPPES |
Illinois | MEDICAID | 038007932 |
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