Hagerman, Zachary Chancellor

Hagerman, Zachary Chancellor is an individual health care provider with primary practice located at 15 Mohegan Ave , New London CT 06320-8100. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Hagerman, Zachary Chancellor can be contacted via phone (860) 701-6999.

Contact Information

Primary practice address
15 Mohegan Ave New London CT 06320-8100
Fax: (860) 444-8413
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1790751972
LBN Legal business name Hagerman, Zachary Chancellor
Credentials CORPSMAN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 8th, 2007 - about 18 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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