ZACHARY CHANCELLOR HAGERMAN CORPSMAN NPI 1790751972

NPI Information

  • NPI: 1790751972
  • Provider Name: ZACHARY CHANCELLOR HAGERMAN, CORPSMAN
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Individual
  • Address: 15 MOHEGAN AVE
    NEW LONDON, CT
    ZIP 06320
  • Phone: (860) 701-6999

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NPI Details

Zachary Chancellor Hagerman, CORPSMAN is a military health care provider in New London, CT. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Zachary Chancellor Hagerman, CORPSMAN NPI is 1790751972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 MOHEGAN AVE
NEW LONDON, CT
ZIP 06320-100
Phone: (860) 701-6999
Fax: (860) 444-8413

The enumeration date for this NPI number is 2/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171000000XMilitary Health Care ProviderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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