Individual provider · Type 1 NPI
Ethan H. Hagen, DC
Chiropractor · Yorkville, IL
NPI number
1801000930
Active
Practice location
604 Center Pkwy Ste C
Yorkville, IL 60560-1690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: 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 interrelationship with other body systems.
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About NPI 1801000930
Ethan H. Hagen, DC's National Provider Identifier is 1801000930, issued on May 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Yorkville, IL. The record was last updated on Nov 14, 2007.