Hagen, Timothy L

Hagen, Timothy L is an individual health care provider with primary practice located at 4105 Holiday St Nw , Canton OH 44718-2531. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Hagen, Timothy L can be contacted via phone (330) 494-2097.

Contact Information

Primary practice address
4105 Holiday St Nw Canton OH 44718-2531
Phone: (330) 494-2097
Fax: (330) 494-9750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 34005146 Ohio
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 34005416 Ohio

Profile Details

NPI number 1205860897
LBN Legal business name Hagen, Timothy L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 6th, 2007 - about 17 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 1205860897 NPPES
Ohio MEDICAID 0966638

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