Organization
JEFFREY J. HAGGENJOS, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY TROVATO (OFFICE MANAGER)
(740) 343-4447
Entity
Organization
Contact information
Practice address
399 LINCOLN PARK DR STE A, NEW LEXINGTON, OH 43764-1078
(740) 343-4447
(740) 343-4451
Mailing address
399 LINCOLN PARK DR STE A, NEW LEXINGTON, OH 43764-1078
(740) 343-4447
(740) 343-4451
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/26/2019
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