Hagen, Susan S

Hagen, Susan S is an individual health care provider with primary practice located at 4743 Arapahoe Ave Suite 100, Boulder CO 80303-1113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Hagen, Susan S can be contacted via phone (303) 443-2123.

Contact Information

Primary practice address
4743 Arapahoe Ave Suite 100 Boulder CO 80303-1113
Fax: (303) 443-9497
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X DR.0050231 Colorado

Profile Details

NPI number 1427267632
LBN Legal business name Hagen, Susan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Nov 9th, 2017 - about 8 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 1427267632 NPPES
Colorado MEDICAID 62688821

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