Healthcare Provider Details
I. General information
NPI: 1821131947
Provider Name (Legal Business Name): FRANK JOSEPH HAHN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3031 STATE ROUTE 27
FRANKLIN PARK NJ
08823-1243
US
IV. Provider business mailing address
3031 STATE ROUTE 27
FRANKLIN PARK NJ
08823-1243
US
V. Phone/Fax
- Phone: 732-422-7888
- Fax:
- Phone: 732-422-7888
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 38MC00631800 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: