Brian G Hackleman DC

NPI 1053358291 - Chiropractor - 111N00000X

NPI Details
NPI 1053358291
Gender Male
Enumeration Date 05/31/2006
Last Updated 08/31/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
800 E ALDRICH RD
BOLIVAR MO, 65613, US
Phone (417) 326-3527
Fax (417) 326-3529
Business Location
800 E ALDRICH RD
BOLIVAR MO, 65613, US
Phone (417) 326-3527
Fax (417) 326-3529
Toxanomy
Taxonomy Code 111N00000X
License State Missouri
License Number 006529
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According to our database, Brian G Hackleman DC NPI is 1053358291, taxonomy code is 111N00000X and license number is 006529, license state is located at Missouri. Brian G Hackleman DC physically located at 800 E Aldrich Rd, Bolivar MO, 65613. NPI Number Brian G Hackleman DC has the Individual type.

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1053358291 NPI number is provided on an as is basis without warranty of any kind. 1053358291 is maintained by the National Plan & Provider Enumeration System. The contents of Brian G Hackleman DC are for informational purposes only.