Hagen, Shawn D

Hagen, Shawn D is an individual health care provider with primary practice located at 19707 Scriber Lake Rd Ste 103, Lynnwood WA 98036-6157. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hagen, Shawn D can be contacted via phone (425) 672-1822.

Contact Information

Primary practice address
19707 Scriber Lake Rd Ste 103 Lynnwood WA 98036-6157
Fax: (425) 744-0996
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1795 Washington

Profile Details

NPI number 1144204140
LBN Legal business name Hagen, Shawn D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 14th, 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 1144204140 NPPES
Washington MEDICAID 2004950

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