Elizabeth Hagan Chiropractic Llc | |
1109 Club Village Dr, Suite 104, Columbia, MO 65203-4466 | |
(573) 447-0841 | |
Not Available |
Full Name | Elizabeth Hagan Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1109 Club Village Dr, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1538515226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2016002145 (Missouri) | Primary |
Provider Name | Elizabeth Hagan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780042879 PECOS PAC ID: 3173814902 Enrollment ID: I20160624000921 |
Mailing Address | Practice Location Address |
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Elizabeth Hagan Chiropractic Llc 1109 Club Village Dr, Suite 104, Columbia, MO 65203-4466 Ph: () - | Elizabeth Hagan Chiropractic Llc 1109 Club Village Dr, Suite 104, Columbia, MO 65203-4466 Ph: (573) 447-0841 |
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