Davin L Hagman in Maple Valley - Sports Physician

Davin L Hagman - NPI 1134258106

Davin L Hagman is a Sports Physician in Maple Valley, Washington. Davin L Hagman practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Davin L Hagman is 1134258106. The last update date is 2007-11-28.

Davin L Hagman's current location address is 24005 Maple Valley Highway Se, Maple Valley, Washington. You can contact this provider via phone number 4254322273 and fax number 4254322468. The mailing address for Davin L Hagman is 24005 Maple Valley Highway Se, Maple Valley, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Davin L Hagman
Address 24005 Maple Valley Highway Se, Maple Valley, Washington
Phone Number 4254322273
Fax Number 4254322468
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1134258106
Provider Enumeration Date 2007-03-05
Last Updated Date 2007-11-28

Provider Mailing Address Detail

Address 24005 Maple Valley Highway Se
City Maple Valley
State Washington (WA)
Post Code 980388232
Phone Number 4254322273
Fax Number 4254322468

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No CH00002391
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
131643 WA BLUE CROSS
54553 WA LABOR AND INDUSTRIES

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FAQs about Davin L Hagman

What is the unique identifier code issued to Davin L Hagman by the Centers for Medicare & Medicaid Services?

The Davin L Hagman has been assigned the NPI (National Provider Identifier) 1134258106. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Davin L Hagman?

The Davin L Hagman is situated at 24005 Maple Valley Highway Se, in the city of Maple Valley, state of WA, with the zip code 980388232.

What is Davin L Hagman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Davin L Hagman is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1134258106 to Davin L Hagman?

The Centers for Medicare & Medicaid Services originally issued the 1134258106 to Davin L Hagman on 2007-03-05.

When was the information related to Davin L Hagman most recently updated or refreshed?

The details pertaining to the Davin L Hagman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-28.

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