Ryan J Haun, | |
6276 London Plattsburg Rd, South Charleston, OH 45368-8801 | |
(937) 408-2829 | |
Not Available |
Full Name | Ryan J Haun |
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Gender | Male |
Speciality | Speech-language Pathologist |
Location | 6276 London Plattsburg Rd, South Charleston, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669701751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP-7480 (Ohio) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710637582 PECOS PAC ID: 2163339722 Enrollment ID: O20220509001782 |
Mailing Address | Practice Location Address |
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Ryan J Haun, 6276 London Plattsburg Rd, South Charleston, OH 45368-8801 Ph: (937) 408-2829 | Ryan J Haun, 6276 London Plattsburg Rd, South Charleston, OH 45368-8801 Ph: (937) 408-2829 |
Mrs. Julie Clark, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6276 Plattsburg Rd, South Charleston, OH 45368 Phone: 937-717-6741 Fax: 937-284-8186 | |
Elissa R. Berner, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6276 London Plattsburg Rd, South Charleston, OH 45368 Phone: 937-408-2829 Fax: 937-284-8186 |