MEDICARE: DR. RICHARD JOSEPH HAGES JR. D.C., C.C.S.P.

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
1	111NS0005X	Sports Physician Chiropractor	269	LA
2	111NS0005X	Sports Physician Chiropractor	767	AL
3	111NS0005X	Sports Physician Chiropractor	5601	FL
4	111NS0005X	Sports Physician Chiropractor	2852	CO

General Provider Information

NPI Number	:	1336118934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD JOSEPH HAGES JR. D.C., C.C.S.P.

Provider Business Mailing Address
First Line	:	6601 VETERANS MEMORIAL BLVD
Second Line	:	#39
City	:	METAIRIE
State	:	LA
Zip	:	70003-3943
Country	:	US
Telephone Number	:	504-455-4302
Fax Number	:	504-455-7800

Provider Business Practice Location Address
First Line	:	6601 VETERANS MEMORIAL BLVD
Second Line	:	#39
City	:	METAIRIE
State	:	LA
Zip	:	70003-3943
Country	:	US
Telephone Number	:	504-455-4302
Fax Number	:	504-455-7800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. RICHARD JOSEPH HAGES JR. D.C., C.C.S.P.” Practice Location

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