Individual
JOSIAH HANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 N MAIN ST STE 206, SPRINGBORO, OH 45066-8005
(937) 619-0101
Mailing address
2270 TOWNSHIP ROAD 138, DILLONVALE, OH 43917-7942
(724) 312-5963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2314
WV
363A00000X
Physician Assistant
50.005641RX
OH
Other
Enumeration date
02/06/2019
Last updated
01/22/2024
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