MEDICARE: DR RICHARD J HAGES, INC

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	111N00000X	Chiropractor	269	LA

General Provider Information

NPI Number	:	1891950218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR RICHARD J HAGES, INC

Provider Business Mailing Address
First Line	:	6601 VETERANS BLVD
Second Line	:	SUITE 39
City	:	METAIRIE
State	:	LA
Zip	:	70003
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	:	SUITE 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	:	PRESIDENT
Name	:	RICHARD JOSEPH HAGES JR.
Credential	:	D.C.
Telephone Number	:	504-455-4302

Provider Enumeration Date	:	07/24/2008
Last Update Date	:	07/24/2008

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