Provider Demographics
NPI:1790057032
Name:DR. MARGARET E. VERHAGEN, CHIROPRACTOR, P.C.
Entity Type:Organization
Organization Name:DR. MARGARET E. VERHAGEN, CHIROPRACTOR, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:E
Authorized Official - Last Name:VERHAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:845-986-9266
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX27691Medicare PIN