Individual
JEFFREY JORDAN HAGGENJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
775 CARROLL ST, NEW LEXINGTON, OH 43764-9415
(740) 856-8253
Mailing address
PO BOX 231, NEW LEXINGTON, OH 43764-0231
(740) 856-8253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-002872
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400293
—
OH
Enumeration date
08/29/2005
Last updated
06/06/2022
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