MEDICARE: JENNIE HAHN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	36542	KY
2	2084P0802X	Addiction Psychiatry Physician	35.072947	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0256	OTHER	KY	MEDICARE

General Provider Information

NPI Number	:	1487600730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIE HAHN MD

Provider Business Mailing Address
First Line	:	3131 HARVEY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3000
Country	:	US
Telephone Number	:	513-585-8227
Fax Number	:	513-585-8278

Provider Business Practice Location Address
First Line	:	3131 HARVEY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3000
Country	:	US
Telephone Number	:	513-585-8227
Fax Number	:	513-585-8278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	02/08/2017

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Directions to “ JENNIE HAHN MD” Practice Location

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