Provider Demographics
NPI:1639422736
Name:HAHN, BENJAMIN JIN (AP)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:JIN
Last Name:HAHN
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4237 SW 22ND LN UNIT 137
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-6733
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2609 SW 33RD ST
Practice Address - Street 2:UNIT 103, SUITE 3
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7774
Practice Address - Country:US
Practice Address - Phone:321-278-9617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3157171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist