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Organization
BRIAN G HACKLEMAN DC
Active
Organization
BRIAN G HACKLEMAN DC
Active
Other names
Bolivar Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN G HACKLEMAN DC (DOCTOR)
(417) 326-3527
Entity
Organization
Contact information
Practice address
800 E ALDRICH RD, BOLIVAR, MO 65613
(417) 326-3527
(417) 326-3529
Mailing address
800 E ALDRICH RD, BOLIVAR, MO 65613
(417) 326-3527
(417) 326-3529
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006529
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188731
BCBS OF MO
MO
Enumeration date
05/26/2006
Last updated
08/22/2020
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