Individual
DR. BRIAN P HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
910 NE 2ND ST, DEERFIELD BEACH, FL 33441-2138
(954) 570-7699
(954) 570-7698
Mailing address
PO BOX 8587, DEERFIELD BEACH, FL 33443-8587
(954) 570-7699
(954) 570-7698
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH-7618
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100148
FIRST HEALTH PROVIDER #
FL
01
—
3224470
CIGNA PROVIDER NUMBER
FL
01
—
40974
BCBS GROUP NUMBER
FL
01
—
55805
BCBS PROVIDER NUMBER
FL
01
—
647625
UNITED HEALTHCARE
FL
Enumeration date
01/31/2007
Last updated
07/09/2007
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