Provider Demographics
NPI:1679657795
Name:JEFFREY G. HANES, D.C., INC.
Entity Type:Organization
Organization Name:JEFFREY G. HANES, D.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:G
Authorized Official - Last Name:HANES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-772-5957
Mailing Address - Street 1:1 HEALTH DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8604
Mailing Address - Country:US
Mailing Address - Phone:740-772-5957
Mailing Address - Fax:740-772-6483
Practice Address - Street 1:1 HEALTH DR
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8604
Practice Address - Country:US
Practice Address - Phone:740-772-5957
Practice Address - Fax:740-772-6483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0210239Medicaid
OH0210239Medicaid