Dwayne P Hagenow
Specialist/Technologist, Athletic Trainer in Cos Cob, Connecticut
1184134025- Practice location
- 35 River RD Ste 2, Cos Cob, CT 06807-2759
- Phone
- 203-422-0679
- Fax
- —
- Last updated
- October 5, 2017
Dwayne Patrick Hagenow is a Specialist/Technologist, Athletic Trainer based in Cos Cob, CT. Dwayne Patrick Hagenow practices in Cos Cob, CT. The NPI Number for Dwayne Patrick Hagenow is 1184134025 and holds a License No. 54.001127 (CT). The current practice location address for Dwayne Patrick Hagenow is 35 River RD Ste 2, Cos Cob, CT 06807-2759 and can be reached out via phone at 203-422-0679.
Provider Profile Details
- NPI Number
- 1184134025
- Provider Name
- Dwayne Patrick Hagenow
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 35 River RD Ste 2, Cos Cob, CT 06807-2759
- Phone Number
- 203-422-0679
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 5, 2017
- Last Update Date
- October 5, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 35 River RD Ste 2
Cos Cob, CT 06807-2759 - City
- Cos Cob
- State
- Connecticut
- Zip
- 06807-2759
- Phone Number
- 203-422-0679
Provider Business Mailing Address Details
- Address
- 35 River RD Ste 2
Cos Cob, CT 06807-2759 - City
- Cos Cob
- State
- CT
- Zip
- 06807-2759
License Information
- License Number
- 54.001127
- License State
- CT
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dwayne P Hagenow?
The NPI number of Dwayne P Hagenow is 1184134025. It was assigned on October 5, 2017 and is currently active in the NPPES registry.
What is the specialty of Dwayne P Hagenow?
Dwayne P Hagenow is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 54.001127.
Where does Dwayne P Hagenow practice?
The practice location is 35 River RD Ste 2, Cos Cob, CT 06807-2759. The office can be reached at 203-422-0679 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184134025 directly on the NPPES registry website.