Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 36003303 | OH |
NPI | 1043213739 |
---|---|
Provider Name | Dr. Jennifer L Hamilton |
First Address | Glenford, OH 43739-9703 |
Second Address | Columbus, OH 43219-1834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 23/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1154462638 | JENNIFER L HAMILTON, DPM, LLC NPI (01) |