Hagood, Virginia

Hagood, Virginia is an individual health care provider with primary practice located at 3601 W. 13 Mile Rd 400 Fsc-Pcs, Royal Oak MI 48073-6769. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hagood, Virginia can be contacted via phone (248) 423-2481.

Contact Information

Primary practice address
3601 W. 13 Mile Rd 400 Fsc-Pcs Royal Oak MI 48073-6769
Phone: (248) 423-2481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704134430 Michigan

Profile Details

NPI number 1790751683
LBN Legal business name Hagood, Virginia
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Aug 8th, 2017 - about 7 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 1790751683 NPPES
Michigan MEDICAID 4167587
Michigan Other 430F364420

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