Active NPIIndividual providerSole proprietor

Erin M Hagedorn, MS, ATC

Specialist/Technologist, Athletic Trainer in Worcester, Massachusetts

NPI Number1508192261
Practice location
500 Salisbury St, Worcester, MA 01609-1265
Fax
—
Last updated
January 18, 2012

Erin M Hagedorn is a Specialist/Technologist, Athletic Trainer based in Worcester, MA. Erin M Hagedorn practices in Worcester, MA and has the professional credentials of MS, ATC. The NPI Number for Erin M Hagedorn is 1508192261 and holds a License No. AT 765 (KY). The current practice location address for Erin M Hagedorn is 500 Salisbury St, Worcester, MA 01609-1265 and can be reached out via phone at 508-767-7421.

Provider Profile Details

NPI Number
1508192261
Provider Name
Erin M Hagedorn
Credential
MS, ATC
Provider Entity Type
Individual
Gender
Female
Address
500 Salisbury St, Worcester, MA 01609-1265
Phone Number
508-767-7421
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
October 30, 2009
Last Update Date
January 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Salisbury St
Worcester, MA 01609-1265
Zip
01609-1265
Phone Number
508-767-7421
Worcester, MA 01609Get directions →

Provider Business Mailing Address Details

Address
20 Edgewood St
Apt 3
Worcester, MA 01602-3333
City
Worcester
State
MA
Zip
01602-3333

License Information

License Number (1)
AT 765
License State (1)
KY
License Number (2)
2261
License State (2)
MA
Taxonomy (2)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Erin M Hagedorn, MS, ATC?

The NPI number of Erin M Hagedorn, MS, ATC is 1508192261. It was assigned on October 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Erin M Hagedorn, MS, ATC?

Erin M Hagedorn, MS, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in KY under license number AT 765.

Where does Erin M Hagedorn, MS, ATC practice?

The practice location is 500 Salisbury St, Worcester, MA 01609-1265. The office can be reached at 508-767-7421 (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 1508192261 directly on the NPPES registry website.

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