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Individual

BRANDON LEWIS HANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1 HEALTH DR, CHILLICOTHE, OH 45601-8604
(740) 772-5957
(740) 772-6483
Mailing address
1 HEALTH DR, CHILLICOTHE, OH 45601-8604
(740) 772-5957
(740) 772-6483

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3435
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000304471
ANTHEM PIN
05
2514907
OH
Enumeration date
09/01/2005
Last updated
10/04/2011
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