Hagen Chiropractic, LTD.
Organization Active NPI Clinic/Center · Green Lake, WI
NPI 1740518554 · NPPES record last updated Dec 7, 2009
Key facts
- NPI
- 1740518554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 4507-012 (WI)
- Legal business name
- HAGEN CHIROPRACTIC, LTD.
- Practice address
- 529 Mill St
Green Lake, WI 54941-9425 - Phone
- (920) 294-4357
- NPI assigned
- Dec 7, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Ethan H Hagen, D.C.
- Title
- President
- Phone
- (920) 294-4357
National Provider Directory
Locations
529 Mill St
Green Lake, WI 54941
Phone (920) 294-4357
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 4507-012 | WI | Yes |
Addresses
Primary practice location
529 Mill St
Green Lake, WI 54941-9425
Mailing address
PO Box 336
Green Lake, WI 54941-0336
Phone (920) 294-4357
Other providers in Green Lake, WI
- Nancy Jean Gimenez
- Green Lake County Senior Transportation, Inc
- Green Lake Medical Clinic
- Green Lake Medical Clinic , S.C.
- Green Lake School District
- Kellie Elizabeth Helmer
- Trina Hernandez
- Amanda M Hetzel
- Amy M Higginbotham
- Higher Hope Mental Health, LLC
All providers in Green Lake, WI · Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.