| Dr Johnathan Robert Haggerty, DC | |
|
208 Columbus St, Hicksville, OH 43526-1250 | |
| (419) 542-5669 | |
| Not Available |
| Full Name | Dr Johnathan Robert Haggerty |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 208 Columbus St, Hicksville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770744617 | NPI | - | NPPES |
| 2853112 | Medicaid | OH | |
| 4243631 | Other | OH | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3905 (Ohio) | Primary |
| Provider Name | Community Memorial Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730145392 PECOS PAC ID: 0547258907 Enrollment ID: O20040504000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnathan Robert Haggerty, DC 208 N Columbus, Hicksville, OH 43526-7674 Ph: (419) 542-5669 | Dr Johnathan Robert Haggerty, DC 208 Columbus St, Hicksville, OH 43526-1250 Ph: (419) 542-5669 |
Brent A Roth Dc Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 501 W High St, Hicksville, OH 43526 Phone: 419-542-8247 Fax: 419-542-6726 | |
Bagley Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 501 W High St, Hicksville, OH 43526 Phone: 419-542-8247 Fax: 419-542-6726 | |
Dr. Ryan David Bagley, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 102 Old Mill Rd, Hicksville, OH 43526 Phone: 419-542-8247 Fax: 419-542-6726 | |
Dr. Brent Allen Roth, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 501 W High St, Hicksville, OH 43526 Phone: 419-542-8247 Fax: 419-542-6726 |