Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON HAGENBURG, DA
Active Sole ProprietorDR. JON HAGENBURG, DA is a Acupuncturist healthcare provider located in PROVIDENCE, Rhode Island. NPI 1114064433 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · PROVIDENCE, RI
Registration Details
- NPI Number
- 1114064433
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.497241413614 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DA00279 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
45 EAGLE STBLDG J, UNIT 100PROVIDENCE, RI, 029091011Browse RI providers · Browse ZIP 02909
- Phone
- 4013232998
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| YU CHEN JIAO | DA | 1306912977 |
| ALICE SUI YUK LEE | LIC. AC. | 1811056278 |
| SHIRLEY A FAZZINO | LIC. AC. | 1063574333 |
| MS. MELANIE LEE DIANA | D.A. (DOCTOR OF ACUP | 1306902135 |
| DR. SEAN A TUTEN | D.A. | 1851437842 |
| DR. SARA LOUISE RYAN | D.A. | 1235270133 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.