Active NPIIndividual provider

Zachary C Hagerman, CORPSMAN

Military Health Care Provider in New London, Connecticut

NPI Number1790751972
Practice location
15 Mohegan Ave, New London, CT 06320-8100
Fax
860-444-8413
Last updated
July 13, 2026

Zachary Chancellor Hagerman is a Military Health Care Provider based in New London, CT. Zachary Chancellor Hagerman practices in New London, CT and has the professional credentials of CORPSMAN. The NPI Number for Zachary Chancellor Hagerman is 1790751972. The current practice location address for Zachary Chancellor Hagerman is 15 Mohegan Ave, New London, CT 06320-8100 and can be reached out via phone at 860-701-6999 and via fax at 860-444-8413.

Provider Profile Details

NPI Number
1790751972
Provider Name
Zachary Chancellor Hagerman
Credential
CORPSMAN
Provider Entity Type
Individual
Gender
Male
Address
15 Mohegan Ave, New London, CT 06320-8100
Phone Number
860-701-6999
Fax Number
860-444-8413
Primary Taxonomy
Military Health Care Provider · 171000000X
Sole Proprietor
No
Provider Enumeration Date
February 27, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Mohegan Ave
New London, CT 06320-8100
Zip
06320-8100
Phone Number
860-701-6999
Fax Number
860-444-8413
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
15 Mohegan Ave
New London, CT 06320-8100
City
New London
State
CT
Zip
06320-8100
Phone Number
860-701-6999
Fax Number
860-444-8413

License Information

Taxonomy
Military Health Care Provider · 171000000X · 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 Zachary C Hagerman, CORPSMAN?

The NPI number of Zachary C Hagerman, CORPSMAN is 1790751972. It was assigned on February 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Zachary C Hagerman, CORPSMAN?

Zachary C Hagerman, CORPSMAN is registered under the primary taxonomy Military Health Care Provider (code 171000000X).

Where does Zachary C Hagerman, CORPSMAN practice?

The practice location is 15 Mohegan Ave, New London, CT 06320-8100. The office can be reached at 860-701-6999 (phone) or 860-444-8413 (fax).

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 1790751972 directly on the NPPES registry website.

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