Provider Demographics
NPI:1972264778
Name:HAUG SPINE FIT CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HAUG SPINE FIT CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HAUG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-336-1476
Mailing Address - Street 1:610 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:KS
Mailing Address - Zip Code:66538-1536
Mailing Address - Country:US
Mailing Address - Phone:785-336-3384
Mailing Address - Fax:
Practice Address - Street 1:610 N 9TH ST
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:KS
Practice Address - Zip Code:66538-1536
Practice Address - Country:US
Practice Address - Phone:785-336-3384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty