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NPI Code Detail

MEDICARE: DR. BRIAN P HAGGERTY D.C.

MEDICARE: DR. BRIAN P HAGGERTY 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
1111N00000XChiropractorCH-7618FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13224470OTHERFLCIGNA PROVIDER NUMBER
22100148OTHERFLFIRST HEALTH PROVIDER #
340974OTHERFLBCBS GROUP NUMBER
455805OTHERFLBCBS PROVIDER NUMBER
5647625OTHERFLUNITED HEALTHCARE

General Provider Information

NPI Number : 1811034754
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN P HAGGERTY D.C.
Provider Business Mailing Address
First Line : PO BOX 8587
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33443-8587
Country : US
Telephone Number : 954-570-7699
Fax Number : 954-570-7698
Provider Business Practice Location Address
First Line : 910 NE 2ND ST
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-2138
Country : US
Telephone Number : 954-570-7699
Fax Number : 954-570-7698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/09/2007

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