Hagen, Matthew Carlisle

Hagen, Matthew Carlisle is an individual health care provider with primary practice located at 234 Goodman St , Cincinnati OH 45219-2364. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Neuropathology. Allopathic & Osteopathic Physicians / Neuropathology is his primary health care specialty. Hagen, Matthew Carlisle can be contacted via phone (513) 584-7284.

Contact Information

Primary practice address
234 Goodman St Cincinnati OH 45219-2364
Phone: (513) 584-7284
Fax: (513) 584-3807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35097773 Ohio
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 35 097773 Ohio

Profile Details

NPI number 1447411251
LBN Legal business name Hagen, Matthew Carlisle
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Dec 12th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447411251 NPPES
Ohio MEDICAID 0051637

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