Doctor Name: | MISS ADRIENNE ANN HAGEDORN |
NPI Number: | 1275938706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C |
License Number: | 08002796A |
Business Practice Address: | 501 E Us Hwy 40 Brazil, IN - 478342633 |
Business Phone Number: | 8124488404 |
Business Fax Number: | 8124431427 |
Mailing Address: | P.o. Box 244, BRAZIL |
State: | IN |
Postal Code: | 478342619 |
Phone Number: | 8124488404 |
Fax Number: | 8124431427 |
NPI Enumeration Date: | 10/27/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 08002796A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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 interrelationship with other body systems. |