Hagen, Michael Wayne

Hagen, Michael Wayne is an individual health care provider with primary practice located at 620 E Monroe , Mexico MO 65265. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Hagen, Michael Wayne can be contacted via phone (573) 582-4000.

Contact Information

Primary practice address
620 E Monroe Mexico MO 65265
Phone: (573) 582-4000
Fax: (573) 582-3712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36548 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36548 Missouri
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 36548 Missouri

Profile Details

NPI number 1982683868
LBN Legal business name Hagen, Michael Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Mar 5th, 2020 - about 4 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 1982683868 NPPES
Missouri Other 36548 STATE LICENSE

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