Provider Demographics
NPI:1942458401
Name:HALASKA, HANS J (DC)
Entity Type:Individual
Prefix:DR
First Name:HANS
Middle Name:J
Last Name:HALASKA
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 1:211 COTTONWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53029-2016
Mailing Address - Country:US
Mailing Address - Phone:262-367-7424
Mailing Address - Fax:262-369-1068
Practice Address - Street 1:211 COTTONWOOD AVE
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:WI
Practice Address - Zip Code:53029-2016
Practice Address - Country:US
Practice Address - Phone:262-367-7424
Practice Address - Fax:262-369-1068
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4437-12111N00000X
WI4437-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor