Joseph Vance Haezebrouck, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR002035 Issued in GA

Practice address

3417 Canton Rd Ste 301
Marietta, GA 30066-2896

Phone

(770) 424-5551

Fax

(770) 424-5553

NPI assigned

Oct 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.haezebrouck.p2@direct.life.nextgenshare.com
• Direct secure messaging: joseph.haezebrouck.p1@direct.life.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bi-County Chiropractic and Rehab LLC

  • Chiropractor
  • Marietta, GA
  • NPI 1740986454
  NPD
• Casey Chiropractic LLC

  dba Clay County Chiropractic

  • Chiropractor
  • Ashland, AL
  • NPI 1942582960
  NPD (past)

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1881770188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 CANTON RD",
            "address_2": "SUITE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662896",
            "telephone_number": "770-424-5551",
            "fax_number": "770-424-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 CANTON RD STE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662896",
            "telephone_number": "770-424-5551",
            "fax_number": "770-424-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEZEBROUCK",
        "first_name": "JOSEPH",
        "middle_name": "VANCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-29",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR002035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond F. Hackney, RPH
• Melanie Hackney, PMHNP-BC
• Shana Boyd Hackworth, PHYSICIAN ASSISTANT
• Jeremy Eric Hadibe, DDS
• Charles R Haendel, DPM
• David H. Hafner, M.D.
• Colleen L Hagan
• Terris Leigh Hagan
• Miah J Hagans, MD, MPH
• Kazem Haghir Ebrahimabadi, RPH

• Rehabilitation Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.