Hagenstad, Christopher T

Hagenstad, Christopher T is an individual health care provider with primary practice located at 631 Professional Drive Ste 210, Lawrenceville GA 30046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Hagenstad, Christopher T can be contacted via phone (678) 312-3235.

Contact Information

Primary practice address
631 Professional Drive Ste 210 Lawrenceville GA 30046
Phone: (678) 312-3235
Fax: (678) 312-2020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 052738 Georgia

Profile Details

NPI number 1659460244
LBN Legal business name Hagenstad, Christopher T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 1st, 2021 - about 3 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 1659460244 NPPES
Georgia Other 1508926759 GROUP NPI NUMBER
Georgia Other 1659460244 GROUP NPI NUMBER
Georgia MEDICAID 001888315A GROUP NPI NUMBER

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