Doctor Name: | DR. MATTHEW T HAFEN |
NPI Number: | 1861459786 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 9761461202 |
Business Practice Address: | 1173 S 250 W Suite 107 St George, UT - 847706178 |
Business Phone Number: | 4356730900 |
Business Fax Number: | 4356731606 |
Mailing Address: | 1173 S 250 W, Suite 107 ST GEORGE |
State: | UT |
Postal Code: | 847706178 |
Phone Number: | 4356730900 |
Fax Number: | 4356731606 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 10/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 9761461202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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. |