Active NPIIndividual providerSole proprietor

Dr. Jon Hagenburg, DA

Acupuncturist in Providence, Rhode Island

NPI Number1114064433
Practice location
45 Eagle St, Bldg J, Unit 100, Providence, RI 02909-1011
Fax
—
Last updated
July 8, 2007

Jon Hagenburg is an Acupuncturist based in Providence, RI. Jon Hagenburg practices in Providence, RI and has the professional credentials of DA. The NPI Number for Jon Hagenburg is 1114064433 and holds a License No. DA00279 (RI). The current practice location address for Jon Hagenburg is 45 Eagle St, Bldg J, Unit 100, Providence, RI 02909-1011 and can be reached out via phone at 401-323-2998.

Provider Profile Details

NPI Number
1114064433
Provider Name
Jon Hagenburg
Credential
DA
Provider Entity Type
Individual
Gender
Male
Address
45 Eagle St, Bldg J, Unit 100, Providence, RI 02909-1011
Phone Number
401-323-2998
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Eagle St
Bldg J, Unit 100
Providence, RI 02909-1011
Zip
02909-1011
Phone Number
401-323-2998
Providence, RI 02909Get directions →

Provider Business Mailing Address Details

Address
45 Eagle St
Bldg J, Unit 100
Providence, RI 02909-1011
City
Providence
State
RI
Zip
02909-1011
Phone Number
401-323-2998

License Information

License Number
DA00279
License State
RI
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jon Hagenburg, DA?

The NPI number of Dr. Jon Hagenburg, DA is 1114064433. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jon Hagenburg, DA?

Dr. Jon Hagenburg, DA is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in RI under license number DA00279.

Where does Dr. Jon Hagenburg, DA practice?

The practice location is 45 Eagle St, Bldg J, Unit 100, Providence, RI 02909-1011. The office can be reached at 401-323-2998 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114064433 directly on the NPPES registry website.

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