Provider Demographics
NPI:1154431559
Name:HANGGIE, ANTHONY W (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:W
Last Name:HANGGIE
Suffix:
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 1:205 S EL CAMINO REAL
Mailing Address - Street 2:STE. G
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4141
Mailing Address - Country:US
Mailing Address - Phone:760-942-7441
Mailing Address - Fax:
Practice Address - Street 1:205 S EL CAMINO REAL
Practice Address - Street 2:STE G
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4141
Practice Address - Country:US
Practice Address - Phone:760-942-7441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor