Provider Demographics
NPI:1932643905
Name:HAGER, GREGORY ALEN (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ALEN
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 1:3017 E FRANCIS AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-2435
Mailing Address - Country:US
Mailing Address - Phone:509-467-7991
Mailing Address - Fax:509-467-4834
Practice Address - Street 1:3017 E FRANCIS AVE STE 101
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-2435
Practice Address - Country:US
Practice Address - Phone:509-467-7991
Practice Address - Fax:509-467-4834
Is Sole Proprietor?:No
Enumeration Date:2016-12-11
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACHIR.CH.60702397111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor