Individual
ALLEN L HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
558
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11840
—
ND
01
—
1577849
AMERICA'S PPO/ARAZ #
ND
01
—
21754
NDBS #
ND
05
—
29537700
—
ND
01
—
34517
SIOUX VALLEY #
ND
01
—
56G74HA
MNBS #
ND
01
—
HP39955
HEALTHPARTNERS #
ND
Enumeration date
07/13/2006
Last updated
08/17/2011
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