Hagen, Ty

Hagen, Ty is an individual health care provider with primary practice located at 709 Park Ave , Laurel Springs NJ 08021-3131. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Hagen, Ty can be contacted via phone (609) 781-1744.

Contact Information

Primary practice address
709 Park Ave Laurel Springs NJ 08021-3131
Phone: (609) 781-1744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1952187650
LBN Legal business name Hagen, Ty
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2023
Last updated Sep 15th, 2023 - about last year

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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