Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 01065333A | IN |
N | 207XS0117X | Orthopaedic Spine Surgeon | 01065333A | IN |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 01065333A | IN |
NPI | 1265573307 |
---|---|
Provider Name | John P Hammerstein |
First Address | Linton, IN 47441-5281 |
Second Address | Linton, IN 47441 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2007 |
Last Update Date | 15/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200906320 | (05) | IN |