Hazuka Spinal Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1340-12 Issued in WI

Legal business name

HAZUKA SPINAL CENTER INC

Practice address

1742 E Mason St
Green Bay, WI 54302-3259

Phone

(920) 468-4755

Fax

(920) 468-4044

NPI assigned

Feb 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Martin Lee Hazuka, DACBSP

Title

Chiropractor

Phone

(920) 468-4755

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1689906240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 E MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023259",
            "telephone_number": "920-468-4755",
            "fax_number": "920-468-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 E MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023259",
            "telephone_number": "920-468-4755",
            "fax_number": "920-468-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZUKA SPINAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "HAZUKA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-468-4755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACBSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1340-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000075467",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward J Hayes, M.D.
• John Ryan Hayes, D.O.
• Lyndsay Nickolai Hayes, NP
• Michelle Renee Hayes, M.D.
• Stephanie Lynn Hayes, APNP, FNP
• Health in Motion Chiropractic LLC
• Health in Motion Rehab Services
• Healthcare Clinic and Wellness Center
• Healthy Hope Counseling LLC
• Hearing Basilia Corporation

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.