Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 04955 | IA |
NPI | 1417922501 |
---|---|
Provider Name | Dr. David H Hammans |
First Address | Desmoines, IA 50310-3255 |
Second Address | Des Moines, IA 50310-3264 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 04/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0209346 | (05) | IA |