Zachary Chancellor Hagerman in New London - Military Health Care Provider

Zachary Chancellor Hagerman - NPI 1790751972

Zachary Chancellor Hagerman is a Military Health Care Provider in New London, Connecticut. Zachary Chancellor Hagerman practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Zachary Chancellor Hagerman is 1790751972. The last update date is 2007-07-08.

Zachary Chancellor Hagerman's current location address is 15 Mohegan Ave, New London, Connecticut. You can contact this provider via phone number 8607016999 and fax number 8604448413. The mailing address for Zachary Chancellor Hagerman is 15 Mohegan Ave, New London, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Zachary Chancellor Hagerman
Address 15 Mohegan Ave, New London, Connecticut
Phone Number 8607016999
Fax Number 8604448413
Sole Proprietor X
Credentials CORPSMAN

NPI Number Detail

NPI Number 1790751972
Provider Enumeration Date 2006-02-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15 Mohegan Ave
City New London
State Connecticut (CT)
Post Code 63208100
Phone Number 8607016999
Fax Number 8604448413

Provider's Primary Taxonomy Detail

Speciality Military Health Care Provider
Taxonomy 171000000X
Definition:
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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FAQs about Zachary Chancellor Hagerman

What is the unique 10-digit identifier code issued to Zachary Chancellor Hagerman by the Centers for Medicare & Medicaid Services?

The Zachary Chancellor Hagerman has been assigned the NPI (National Provider Identifier) 1790751972 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Zachary Chancellor Hagerman is physically located?

The Zachary Chancellor Hagerman is physically situated at the following address: 15 Mohegan Ave, New London, CT, 63208100.

What is Zachary Chancellor Hagerman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Zachary Chancellor Hagerman is Military Health Care Provider, and the taxonomy code that categorizes this field of expertise is 171000000X.

On what date did Zachary Chancellor Hagerman receive its 1790751972 assignment from the Centers for Medicare & Medicaid Services?

The Zachary Chancellor Hagerman was assigned its 1790751972 on 2006-02-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Zachary Chancellor Hagerman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Zachary Chancellor Hagerman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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