Hagevik, Andre

Hagevik, Andre is an individual health care provider with primary practice located at 14520 W Granite Valley Dr Suite 210, Sun City West AZ 85375-5855. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Hagevik, Andre can be contacted via phone (866) 974-2673.

Contact Information

Primary practice address
14520 W Granite Valley Dr Suite 210 Sun City West AZ 85375-5855
Phone: (866) 974-2673
Fax: (866) 939-2673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 29951 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 29951 Arizona
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 29951 Arizona

Profile Details

NPI number 1528039625
LBN Legal business name Hagevik, Andre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Mar 4th, 2024 - about last year

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 1528039625 NPPES
Arizona MEDICAID 772451

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