Organization
HAGEN CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANEEN K TAYLOR (BILLING)
(563) 449-8153
Entity
Organization
Contact information
Practice address
2395 TECH DR STE 3, BETTENDORF, IA 52722-3277
(563) 449-8153
(563) 449-8154
Mailing address
2395 TECH DR STE 3, BETTENDORF, IA 52722-3277
(563) 449-8153
(563) 449-8154
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04632
IA
111N00000X
Chiropractor
06839
IA
111N00000X
Chiropractor
A05427
IA
111N00000X
Chiropractor
A05805
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03058
WELLMARK BLUE CROSS BLUE
IA
Enumeration date
11/06/2006
Last updated
08/22/2020
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