Organization Name: | PENNY HAHN MD |
NPI Number: | 1487921565 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PENNY HAHN (OWNER) |
Mailing Address: | 158 E Pike St Morrow |
State: | OH US |
Postal Code: | 451521216 |
Phone Number: | 5138992931 |
Fax Number: | 5138994653 |
NPI Enumeration Date: | 11/17/2011 |
NPI Last Update Date: | 12/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35061564 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |