Provider Demographics
NPI:1043633506
Name:HAHN, NEAL JOHN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:NEAL
Middle Name:JOHN
Last Name:HAHN
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1113 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:NE
Mailing Address - Zip Code:68873-1546
Mailing Address - Country:US
Mailing Address - Phone:308-754-4421
Mailing Address - Fax:308-754-2303
Practice Address - Street 1:1113 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:NE
Practice Address - Zip Code:68873-1546
Practice Address - Country:US
Practice Address - Phone:308-754-4421
Practice Address - Fax:308-754-2303
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE1795363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical