Provider Demographics
NPI:1457150542
Name:HANN, CHARLIE L JR
Entity type:Individual
Prefix:
First Name:CHARLIE
Middle Name:L
Last Name:HANN
Suffix:JR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 WOLF LEDGES PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1038
Mailing Address - Country:US
Mailing Address - Phone:234-208-5804
Mailing Address - Fax:
Practice Address - Street 1:441 WOLF LEDGES PKWY STE 100
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1038
Practice Address - Country:US
Practice Address - Phone:234-208-5804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health