| Ryan J Haun, | |
|
6276 London Plattsburg Rd, South Charleston, OH 45368-8801 | |
| (937) 408-2829 | |
| Not Available |
| Full Name | Ryan J Haun |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |