Hahn, Deanna M
Hahn, Deanna M is an individual health care provider with primary practice located at 306 St. Joseph Dr. , Bloomington IL 61701-3506. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Hahn, Deanna M can be contacted via phone (309) 663-2354.Contact Information
Primary practice address
306 St. Joseph Dr.
Bloomington IL 61701-3506
Phone: (309) 663-2354
Fax: (309) 663-7645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036094964 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036094964 | Illinois |
Profile Details
| NPI number | 1629026398 |
|---|---|
| LBN Legal business name | Hahn, Deanna M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Sep 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629026398 | NPPES |
| Illinois | MEDICAID | 036094964 |
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