Hagerman, James Roger

Hagerman, James Roger is an individual health care provider with primary practice located at 1301 Pleasant Valley Rd Suite 202, Owensboro KY 42303-9774. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Hagerman, James Roger can be contacted via phone (270) 417-7500.

Contact Information

Primary practice address
1301 Pleasant Valley Rd Suite 202 Owensboro KY 42303-9774
Phone: (270) 417-7500
Fax: (270) 417-7509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA453 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA453 Kentucky

Profile Details

NPI number 1508807785
LBN Legal business name Hagerman, James Roger
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 21st, 2014 - about 10 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 1508807785 NPPES
Other 000000491613 ANTHEM
Other 11621267 ANTHEM
Other 363AM0700X ANTHEM

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