Hahn, Jody J

Hahn, Jody J is an individual health care provider with primary practice located at 1614 Golf Course Rd , Grand Rapids MN 55744-8681. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hahn, Jody J can be contacted via phone (218) 999-7776.

Contact Information

Primary practice address
1614 Golf Course Rd Grand Rapids MN 55744-8681
Phone: (218) 999-7776
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 102264 Minnesota

Profile Details

NPI number 1568550788
LBN Legal business name Hahn, Jody J
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Apr 9th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568550788 NPPES
Minnesota MEDICAID 716192100

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