Organization
JENNIFER L HAMILTON, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L HAMILTON DPM (OWNER)
(740) 403-9558
Entity
Organization
Contact information
Practice address
15455 MOUND BUILDERS RD, GLENFORD, OH 43739-9703
(740) 403-9558
Mailing address
15455 MOUND BUILDERS RD, GLENFORD, OH 43739-9703
(740) 403-9558
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-003303
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043213739
PHYSICIAN NPI
OH
Enumeration date
02/09/2007
Last updated
02/23/2012
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