Provider Demographics
NPI:1932377744
Name:BRIAN K. HASSINGER, D.C., INC.
Entity Type:Organization
Organization Name:BRIAN K. HASSINGER, D.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDNET
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:HASSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:216-661-6556
Mailing Address - Street 1:5275 BROADVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-1627
Mailing Address - Country:US
Mailing Address - Phone:216-661-6556
Mailing Address - Fax:
Practice Address - Street 1:5275 BROADVIEW RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1627
Practice Address - Country:US
Practice Address - Phone:216-661-6556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH965111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH289544835003OtherMEDICAL MUTUAL OF OHIO
OH000000131472OtherANTHEM BLUE CROSS/BLUE SH
OH289544835003OtherMEDICAL MUTUAL OF OHIO
OHBR9375151Medicare PIN