1427305028 NPI number — MEGAN NICHOLLE HOSKING HAHN MA.CCC.SLP

Table of content: MEGAN NICHOLLE HOSKING HAHN MA.CCC.SLP (NPI 1427305028)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427305028 NPI number — MEGAN NICHOLLE HOSKING HAHN MA.CCC.SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAHN
Provider First Name:
MEGAN
Provider Middle Name:
NICHOLLE HOSKING
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA.CCC.SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOSKING
Provider Other First Name:
MEGAN
Provider Other Middle Name:
NICHOLLE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A., CCC-SLP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1427305028
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/12/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4968 TRINIDAD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAND O LAKES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34639-5650
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
321-947-6679
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4968 TRINIDAD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAND O LAKES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34639-5650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-947-6679
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 222Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X , with the licence number: SA11756 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)