Hagen, Nathan

Hagen, Nathan is an individual health care provider with primary practice located at 4401 Wornall Rd , Kansas City MO 64111-3220. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as his primary health care specialty. Hagen, Nathan can be contacted via phone (816) 502-7000.

Contact Information

Primary practice address
4401 Wornall Rd Kansas City MO 64111-3220
Phone: (816) 502-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 2016000454 Missouri

Profile Details

NPI number 1376916478
LBN Legal business name Hagen, Nathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2015
Last updated Jan 8th, 2016 - about 9 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 1376916478 NPPES
Missouri Other 2016000454 NP LICENSE
Missouri Other 2009017999 NP LICENSE

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