Provider Demographics
NPI:1730710161
Name:VENUS, HANNAH (DC)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:VENUS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:FLESHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:812 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-4225
Mailing Address - Country:US
Mailing Address - Phone:405-937-1094
Mailing Address - Fax:509-493-4001
Practice Address - Street 1:812 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4225
Practice Address - Country:US
Practice Address - Phone:405-937-1094
Practice Address - Fax:405-937-1095
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4420111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor