Provider Demographics
NPI:1629150230
Name:VERHAGEN, MARGARET E (DC)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:E
Last Name:VERHAGEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HIDDEN MDW
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-2427
Mailing Address - Country:US
Mailing Address - Phone:845-986-9266
Mailing Address - Fax:845-986-8541
Practice Address - Street 1:11 HIDDEN MDW
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-2427
Practice Address - Country:US
Practice Address - Phone:845-986-9266
Practice Address - Fax:845-986-8541
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004623-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX27691Medicare PIN