Provider Demographics
NPI:1184912966
Name:HAHN FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:HAHN FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:856-327-4343
Mailing Address - Street 1:PO BOX 22
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08302-0017
Mailing Address - Country:US
Mailing Address - Phone:856-327-4343
Mailing Address - Fax:
Practice Address - Street 1:10 E MAIN ST
Practice Address - Street 2:SUITE G
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-4293
Practice Address - Country:US
Practice Address - Phone:856-327-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-14
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty