Hagenbuch, Michelle L

Hagenbuch, Michelle L is an sole proprietor health care provider with primary practice located at 500 Plaza Circle Suite J, Clinton SC 29325. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hagenbuch, Michelle L can be contacted via phone (864) 938-9690.

Contact Information

Primary practice address
500 Plaza Circle Suite J Clinton SC 29325
Fax: (864) 833-9039
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 150473 South Carolina

Profile Details

NPI number 1053396358
LBN Legal business name Hagenbuch, Michelle L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2005
Last updated Oct 11th, 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 1053396358 NPPES
South Carolina MEDICAID 150473

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