Brett Alan Hagedorn in Fort Wayne - Diagnostic Radiology
Brett Alan Hagedorn - NPI 1275504458
Brett Alan Hagedorn is a Diagnostic Radiology in Fort Wayne, Indiana. Brett Alan Hagedorn practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Brett Alan Hagedorn is 1275504458. The last update date is 2016-06-17.
Brett Alan Hagedorn's current location address is Po Box 80070, Fort Wayne, Indiana. You can contact this provider via phone number 2604321568 and fax number 2604324969. The mailing address for Brett Alan Hagedorn is Po Box 80070, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brett Alan Hagedorn |
|---|---|
| Address | Po Box 80070, Fort Wayne, Indiana |
| Phone Number | 2604321568 |
| Fax Number | 2604324969 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275504458 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2016-06-17 |
Provider Mailing Address Detail
| Address | Po Box 80070 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468980070 |
| Phone Number | 2604321568 |
| Fax Number | 2604324969 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 1048463 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200179850 | IN | -- | |
| 2068604 | OH | -- | |
| 1275504458 | MI | -- |
Post Comment/ Review Below
What is the Brett Alan Hagedorn's 1275504458?
The Brett Alan Hagedorn's NPI (National Provider Identifier) Number is 1275504458. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brett Alan Hagedorn located?
The Brett Alan Hagedorn is located at Po Box 80070, Fort Wayne, IN 468980070.
Could you please provide the complete physical location address of Brett Alan Hagedorn?
The Brett Alan Hagedorn is physically situated at Po Box 80070, in the city of Fort Wayne, state of IN, with the postal code 468980070.
On what date did the Centers for Medicare & Medicaid Services issue the 1275504458 to Brett Alan Hagedorn?
The Brett Alan Hagedorn received its 1275504458 assignment from the Centers for Medicare & Medicaid Services on 2006-01-27.
When was the information pertaining to Brett Alan Hagedorn most recently updated or revised?
The details related to Brett Alan Hagedorn, including its address, specialty, and other relevant information, were last updated or revised on 2016-06-17.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA