Provider Demographics
NPI:1710762984
Name:HAHN, DREW (CHW,CRS)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:
Last Name:HAHN
Suffix:
Gender:M
Credentials:CHW,CRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46173-1116
Mailing Address - Country:US
Mailing Address - Phone:765-932-7591
Mailing Address - Fax:
Practice Address - Street 1:1264 S STATE ROAD 3
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:IN
Practice Address - Zip Code:46173-8509
Practice Address - Country:US
Practice Address - Phone:765-932-7591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker