Hagenberg, Robert John
Hagenberg, Robert John is an individual health care provider with primary practice located at 3080 E Gentry Way Ste 210 , Meridian ID 83642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Hagenberg, Robert John can be contacted via phone (208) 810-2309.Contact Information
Primary practice address
3080 E Gentry Way Ste 210
Meridian ID 83642
Phone: (208) 810-2309
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | R75074 | Arizona |
Profile Details
| NPI number | 1841679669 |
|---|---|
| LBN Legal business name | Hagenberg, Robert John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2015 |
| Last updated | Jun 27th, 2018 - about 6 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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