Provider Demographics
NPI:1245531292
Name:HASPER, JOHN J JR (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:HASPER
Suffix:JR
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 1:871 HIGHWAY 52 E
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ELLIJAY
Mailing Address - State:GA
Mailing Address - Zip Code:30540-3801
Mailing Address - Country:US
Mailing Address - Phone:706-636-3563
Mailing Address - Fax:
Practice Address - Street 1:871 HIGHWAY 52 E
Practice Address - Street 2:SUITE 1
Practice Address - City:ELLIJAY
Practice Address - State:GA
Practice Address - Zip Code:30540-3801
Practice Address - Country:US
Practice Address - Phone:706-636-3563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006141111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor