Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 34.013789 | OH |
NPI | 1003171695 |
---|---|
Provider Name | Dr. Scott Burdine Hahn |
First Address | Lancaster, OH 43130-1043 |
Second Address | Lancaster, OH 43130-1043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2012 |
Last Update Date | 27/06/2019 |