# HAGEN CHIROPRACTIC, LTD.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740518554
- **Authorized official:** DR. ETHAN H HAGEN D.C. (PRESIDENT)
- **Authorized official phone:** (920) 294-4357

## Contact information

- **Practice address:** 529 MILL ST, GREEN LAKE, WI 54941-9425
- **Practice address phone:** (920) 294-4357
- **Mailing address:** PO BOX 336, GREEN LAKE, WI 54941-0336
- **Mailing address phone:** (920) 294-4357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 4507-012 | WI | Yes |

## Other

- **Enumeration date:** 12/07/2009
- **Last updated:** 12/07/2009