Organization
PENNY HAHN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY HAHN MD (OWNER)
(513) 899-2931
Entity
Organization
Contact information
Practice address
158 E PIKE ST, MORROW, OH 45152-1216
(513) 899-2931
(513) 899-4653
Mailing address
PO BOX 194, MORROW, OH 45152-0194
(513) 899-2931
(513) 899-4653
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35061564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000017310
BLUE CROSS
—
05
—
0882684
—
OH
Enumeration date
11/17/2011
Last updated
12/05/2011
Update your record
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