MEDICARE: DR. MAISIE L HAHN D.C.

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	111N00000X	Chiropractor	38MC00611300	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00074476	OTHER	NH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	119335125	OTHER		CAQH PROVIDER ID
3	2286965000	OTHER	NJ	AMERIHEALTH

General Provider Information

NPI Number	:	1467408443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAISIE L HAHN D.C.

Provider Business Mailing Address
First Line	:	404 W HAND AVE
Second Line	:	UNIT 200
City	:	WILDWOOD
State	:	NJ
Zip	:	08260-1548
Country	:	US
Telephone Number	:	609-602-8515
Fax Number	:	609-463-4591

Provider Business Practice Location Address
First Line	:	211 S MAIN ST
Second Line	:	UNIT 302
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-2264
Country	:	US
Telephone Number	:	609-463-4590
Fax Number	:	609-463-4591

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	02/20/2013

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Directions to “ DR. MAISIE L HAHN D.C.” Practice Location

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