Individual
JOHN HERBERT HAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
208 W FOURTH, OMAK, WA 98841-0551
(509) 826-2111
(509) 826-1334
Mailing address
PO BOX 551, OMAK, WA 98841-0551
(509) 826-2111
(509) 826-1334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114053
LABOR & INDUSTRIES
WA
05
—
2020949
—
WA
01
—
911833133
HMO
—
01
—
HA1266
ASURIS NW HEALTH
—
01
—
P00153320
RAILROAD MEDICARE
—
Enumeration date
10/21/2006
Last updated
05/29/2014
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