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NPI Code Detail

MEDICARE: MR. JEFFREY ALLAN HAMMER P.A.

MEDICARE:  MR. JEFFREY ALLAN HAMMER  P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1111IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043326473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY ALLAN HAMMER P.A.
Provider Business Mailing Address
First Line : P.O. BOX 7365
Second Line :
City : OMAHA
State : NE
Zip : 68107-0365
Country : US
Telephone Number : 402-731-7333
Fax Number : 402-614-5405
Provider Business Practice Location Address
First Line : 2429 M. STREET
Second Line :
City : OMAHA
State : NE
Zip : 68107-2715
Country : US
Telephone Number : 402-731-7333
Fax Number : 402-614-5405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 07/17/2015

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Directions to “ MR. JEFFREY ALLAN HAMMER P.A.” Practice Location

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