Provider Demographics
NPI:1477630796
Name:HAGER, ROBERT TAYLOR (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TAYLOR
Last Name:HAGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 4TH AVE W
Mailing Address - Street 2:PO BOX 2790
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-3605
Mailing Address - Country:US
Mailing Address - Phone:406-892-4331
Mailing Address - Fax:
Practice Address - Street 1:505 4TH AVE W
Practice Address - Street 2:
Practice Address - City:COLUMBIA FALLS
Practice Address - State:MT
Practice Address - Zip Code:59912-3605
Practice Address - Country:US
Practice Address - Phone:406-892-4331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor