Provider Demographics
NPI:1225716624
Name:FAULKNER, HANNAH (DC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:FAULKNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 FAIRGREEN CIR UNIT 104
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-2154
Mailing Address - Country:US
Mailing Address - Phone:740-708-1433
Mailing Address - Fax:
Practice Address - Street 1:10709 BLACKLICK EASTERN RD
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-5201
Practice Address - Country:US
Practice Address - Phone:614-908-2896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05270111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor