Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 269 | LA |
N | 111NS0005X | Chiropractic Sports Physician | 2852 | CO |
N | 111NS0005X | Chiropractic Sports Physician | 5601 | FL |
N | 111NS0005X | Chiropractic Sports Physician | 767 | AL |
NPI | 1336118934 |
---|---|
Provider Name | Dr. Richard Joseph Hages JR. |
First Address | Metairie, LA 70003-3943 |
Second Address | Metairie, LA 70003-3943 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T19962 | (02) | LA |