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Individual

MRS. PEARL ELEANOR HENNAN-HAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
115 N 3RD ST, IRONTON, OH 45638-1471
(740) 377-2712
Mailing address
115 N 3RD ST, IRONTON, OH 45638-1471
(740) 302-1777

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
02639
KY
208000000X
Pediatrics Physician
Primary
34.014539
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000076728
ANTHEM BC/BS
KY
01
000000550502
ANTHEM BCBS
KY
05
2771429
OH
05
64011059
KY
Enumeration date
06/08/2005
Last updated
04/09/2025
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