Healthcare Provider Details
I. General information
NPI: 1700709243
Provider Name (Legal Business Name): NICHOLAS DEAN HAHN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
102 CHARLES ST
BOSTON MA
02114-4607
US
IV. Provider business mailing address
44 WALNUT HILL DR
SCITUATE MA
02066-4464
US
V. Phone/Fax
- Phone: 617-286-5216
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CHI5256 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: