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Contact Information

TRACY L HAGADORN, CPM, LM
182 STATE STREET
EAGLE, ID83616
 Phone: 208-631-8910
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for TRACY L HAGADORN · (Female)

NPI Number 1245726918
Status Active
Credentials CPM, LM
Entity Individual
Enumeration date 07/06/2018
Last updated 07/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # MID-86
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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