Hagen, Susan Jane
Hagen, Susan Jane is an individual health care provider with primary practice located at 410 Windward Way , Kalispell MT 59901-2680. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hagen, Susan Jane can be contacted via phone (406) 257-1336.Contact Information
Primary practice address
410 Windward Way
Kalispell MT 59901-2680
Phone: (406) 257-1336
Fax: (406) 257-1353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1104 | Montana |
Profile Details
| NPI number | 1043374200 |
|---|---|
| LBN Legal business name | Hagen, Susan Jane |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Dec 15th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043374200 | NPPES |
| Montana | MEDICAID | 0000255527 |
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