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HAGEN CLINIC PLLC NPI 1558792861


NPI Information

NPI: 1558792861
Provider Name: HAGEN CLINIC PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2395 TECH DRIVE
SUITE 3
BETTENDORF, IA
ZIP 52722
Phone: (563) 449-8153
Get Directions

HAGEN CLINIC PLLC is a chiropractor in Bettendorf, IA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. HAGEN CLINIC PLLC NPI is 1558792861. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2395 TECH DRIVE
SUITE 3
BETTENDORF, IA
ZIP 52722-277
Phone: (563) 449-8153
Fax: (563) 449-8154

The provider's authorized official is Chad M Hagen .
The authorized official title is Owner and has the following contact phone number (563) 449-8153.

The enumeration date for this NPI number is 12/12/2013 and was last updated on 12/12/2013.


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
1111N00000XChiropractor06839IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11649395054OTHERIOWAMEDICARE NPI
2I17012OTHERIOWAMEDICARE PTAN

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: 5/5/2024

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