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
Phone: (303) 443-2123
Fax: (303) 443-9497
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427267632 | NPPES |
Colorado | MEDICAID | 62688821 |
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