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Contact Information

SHAD M HAGAN
1820 SOUTH VAN BUREN
ENID, OK73703
 Phone: 405-762-6600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for SHAD M HAGAN · (Male)

NPI # 1407519119
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2021
Last updated 11/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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