Provider Demographics
NPI:1184813560
Name:HAHN CHIROPRACTIC AND WELLNESS CENTERS
Entity type:Organization
Organization Name:HAHN CHIROPRACTIC AND WELLNESS CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUGGEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-980-2225
Mailing Address - Street 1:32685 US HIGHWAY 281 N
Mailing Address - Street 2:STE. 100
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-3271
Mailing Address - Country:US
Mailing Address - Phone:830-980-2225
Mailing Address - Fax:
Practice Address - Street 1:32685 US HIGHWAY 281 N
Practice Address - Street 2:STE. 100
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-3271
Practice Address - Country:US
Practice Address - Phone:830-980-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00957RMedicare UPIN