Hagenburg, Jon

Hagenburg, Jon is an sole proprietor health care provider with primary practice located at 45 Eagle St Bldg J, Unit 100, Providence RI 02909-1011. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Hagenburg, Jon can be contacted via phone (401) 323-2998.

Contact Information

Primary practice address
45 Eagle St Bldg J, Unit 100 Providence RI 02909-1011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X DA00279 Rhode Island

Profile Details

NPI number 1114064433
LBN Legal business name Hagenburg, Jon
Credentials DA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 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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