Healthcare Provider Details

I. General information

NPI: 1871794966
Provider Name (Legal Business Name): THE HUMMER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6046 E MAIN #A103
MESA AZ
85205-8928
US

IV. Provider business mailing address

6046 E MAIN #A103
MESA AZ
85205-8928
US

V. Phone/Fax

Practice location:
  • Phone: 480-396-9588
  • Fax: 480-396-0689
Mailing address:
  • Phone: 480-396-9588
  • Fax: 480-396-0689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH ANN HUMM
Title or Position: PRES AND OWNER
Credential:
Phone: 480-396-9588