Provider Demographics
NPI:1740315027
Name:JOHN S HAN INC
Entity type:Organization
Organization Name:JOHN S HAN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-581-2296
Mailing Address - Street 1:8737 SOUTH TACOMA WAY
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-4544
Mailing Address - Country:US
Mailing Address - Phone:253-581-2296
Mailing Address - Fax:253-581-7565
Practice Address - Street 1:8737 SOUTH TACOMA WAY
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-4544
Practice Address - Country:US
Practice Address - Phone:253-581-2296
Practice Address - Fax:253-581-7565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH3439111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U67705Medicare UPIN
WAAB32220Medicare ID - Type Unspecified