Most Relevant Information
Provider Data
| NPI Number: | 1003269101 |
| Provider Name: | ELLIOT JAY HASSEN D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | CH 11883 |
Most Important Dates
| Enumeration Date: | 07/13/2016 |
| Last Updated: | 03/29/2017 |
Provider Practice Location
761 S NOVA RD
ORMOND BEACH
FL
321747332
Practice Location Phone/Fax
| Phone: | 3867955511 |
| Fax: |
Provider Mailing Location
761 S NOVA RD
ORMOND BEACH
FL
321747332
Provider Mailing Phone/Fax
| Phone: | 3867955511 |
| Fax: |