Hagen, Nathan B

Hagen, Nathan B is an sole proprietor health care provider with primary practice located at 115 South St Michigan Community Medical Clinic, Michigan ND 58259-0290. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hagen, Nathan B can be contacted via phone (701) 259-2119.

Contact Information

Primary practice address
115 South St Michigan Community Medical Clinic Michigan ND 58259-0290
Phone: (701) 259-2119
Fax: (701) 259-2319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3113 North Dakota
Allopathic & Osteopathic Physicians / General Practice 208D00000X 3113 North Dakota

Profile Details

NPI number 1518049931
LBN Legal business name Hagen, Nathan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Oct 29th, 2007 - about 18 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 1518049931 NPPES
North Dakota MEDICAID 11257
North Dakota Other 33401

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