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NPI Code Detail

MEDICARE: DR. STEPHEN PAUL HAAGENSON D.C.

MEDICARE: DR. STEPHEN PAUL HAAGENSON D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor6245CO

General Provider Information

NPI Number : 1629201116
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN PAUL HAAGENSON D.C.
Provider Business Mailing Address
First Line : 50 S FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80219-2044
Country : US
Telephone Number : 303-922-2977
Fax Number :
Provider Business Practice Location Address
First Line : 50 S FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80219-2044
Country : US
Telephone Number : 303-922-2977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2009
Last Update Date : 08/31/2009

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