Dr. Rudolf Gustav Hahn
Periodontist
616 E. Main Street
Chewelah
, Washington 99109
Dr. Rudolf Gustav Hahn
Periodontist
616 E. Main Street
Chewelah
, Washington 99109
(208) 699-6419
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Rudolf Gustav Hahn
- Po Box 68
- Cocolalla, ID
- Zip : 83813-0068
- Phone : (208) 699-6419
Second Address
- Dr. Rudolf Gustav Hahn
- 616 E. Main Street
- Chewelah, WA
- Zip : 99109
- Fax : (509) 935-4103
- Phone : (509) 935-8642
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 7164 | WA |
National Provider Identifier
| NPI | 1124122536 |
|---|---|
| Provider Name | Dr. Rudolf Gustav Hahn |
| First Address | Cocolalla, ID 83813-0068 |
| Second Address | Chewelah, WA 99109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.