Hagen, Marylou
Hagen, Marylou is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Hagen, Marylou can be contacted via phone (608) 265-9939.Contact Information
Primary practice address
600 Highland Ave
Madison WI 53792
Phone: (608) 265-9939
Fax: (608) 265-9695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1670 | Wisconsin |
Profile Details
| NPI number | 1528029436 |
|---|---|
| LBN Legal business name | Hagen, Marylou |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Feb 12th, 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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