Provider Demographics
NPI:1851786313
Name:HASSE FAMILY CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:HASSE FAMILY CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-304-1352
Mailing Address - Street 1:200 UNION BLVD
Mailing Address - Street 2:SUITE 440
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1830
Mailing Address - Country:US
Mailing Address - Phone:303-304-1352
Mailing Address - Fax:
Practice Address - Street 1:200 UNION BLVD
Practice Address - Street 2:SUITE 440
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1830
Practice Address - Country:US
Practice Address - Phone:303-304-1352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007251111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty