Brian G Hackleman in Bolivar - Chiropractor
Brian G Hackleman - NPI 1053358291
Brian G Hackleman is a Chiropractor in Bolivar, Missouri. Brian G Hackleman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brian G Hackleman is 1053358291. The last update date is 2018-04-18.
Brian G Hackleman's current location address is 341 S Springfield Ave, Bolivar, Missouri. You can contact this provider via phone number 4173263527 and fax number 4173263529. The mailing address for Brian G Hackleman is 341 S Springfield Ave, Bolivar, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian G Hackleman |
|---|---|
| Address | 341 S Springfield Ave, Bolivar, Missouri |
| Phone Number | 4173263527 |
| Fax Number | 4173263529 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1053358291 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2018-04-18 |
Provider Mailing Address Detail
| Address | 341 S Springfield Ave |
|---|---|
| City | Bolivar |
| State | Missouri (MO) |
| Post Code | 656132040 |
| Phone Number | 4173263527 |
| Fax Number | 4173263529 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 6529 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25678 | MO | MEDICARE PTAN | |
| 188731 | MO | BCBS OF MO |
Post Comment/ Review Below
What is the Brian G Hackleman's unique identification number?
The Brian G Hackleman has been assigned the NPI (National Provider Identifier) Number 1053358291 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Brian G Hackleman is geographically located?
The Brian G Hackleman is physically situated at the following location: 341 S Springfield Ave, Bolivar, MO, 656132040.
What is the Brian G Hackleman's specialty and taxonomy code?
The Brian G Hackleman's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did Brian G Hackleman receive its 1053358291 assignment from the Centers for Medicare & Medicaid Services?
The Brian G Hackleman was assigned its 1053358291 on 2006-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Brian G Hackleman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian G Hackleman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-04-18.