Organization
NEUROLOGY AND SLEEP SCIENCES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C HAGEDORN M.D. (PHYSICIAN OWNER)
(812) 376-3100
Entity
Organization
Contact information
Practice address
1655 N GLADSTONE AVE, SUITE C, COLUMBUS, IN 47201-5380
(812) 376-3100
(812) 378-6191
Mailing address
PO BOX 2547, COLUMBUS, IN 47202-2547
(812) 376-3100
(812) 378-6191
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200330450
—
IN
Enumeration date
06/30/2006
Last updated
05/28/2010
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