Organization
HAGEN CHIROPRACTIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN H HAGEN D.C. (PRESIDENT)
(920) 294-4357
Entity
Organization
Contact information
Practice address
529 MILL ST, GREEN LAKE, WI 54941-9425
(920) 294-4357
Mailing address
PO BOX 336, GREEN LAKE, WI 54941-0336
(920) 294-4357
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4507-012
WI
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up