Provider Demographics
NPI:1285008177
Name:AHN, JAMIE (ND)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:
Last Name:AHN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 EAST AVE
Mailing Address - Street 2:GARDEN SUITE
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5020
Mailing Address - Country:US
Mailing Address - Phone:203-450-6463
Mailing Address - Fax:203-900-8747
Practice Address - Street 1:91 EAST AVE
Practice Address - Street 2:GARDEN SUITE
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5020
Practice Address - Country:US
Practice Address - Phone:203-450-6463
Practice Address - Fax:203-900-8747
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-16
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT550175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath