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Dr. Johnathan Robert Haggerty, DC
Chiropractor in Hicksville, Ohio
NPI 1770744617

Johnathan Robert Haggerty is a Chiropractor based in Hicksville, OH. Johnathan Robert Haggerty practices in Hicksville, OH and has the professional credentials of DC. The NPI Number for Johnathan Robert Haggerty is 1770744617 and holds a License No. 3905 (Ohio).

The current practice location address for Johnathan Robert Haggerty is 208 Columbus St, Hicksville, OH and can be reached out via phone at 419-542-5669.

Location: 208 Columbus St, Hicksville, OH, 43526-7674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770744617
Provider Name
Johnathan Robert Haggerty
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
208 Columbus St, Hicksville, OH, 43526-7674
Phone Number
419-542-5669
Fax Number
Provider Enumeration Date
06/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2853112 05 OH
4243631 01 OH MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
208 Columbus St
City
Hicksville
State
Ohio
Zip
43526-1250
Phone Number
419-542-5669
Fax Number
person
Provider Business Mailing Address Details
Address
208 Columbus St
City
Hicksville
State
Ohio
Zip
43526-1250
Phone Number
419-542-5669
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3905 (Ohio)
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.
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