Healthcare Provider Details

I. General information

NPI: 1194960963
Provider Name (Legal Business Name): JEANNE V HAMEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2008
Last Update Date: 12/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 HOSPITAL DR STE D
SACRAMENTO CA
95823-5406
US

IV. Provider business mailing address

7600 HOSPITAL DRIVE SUITE D
SACRAMENTO CA
95823-5406
US

V. Phone/Fax

Practice location:
  • Phone: 916-525-1554
  • Fax:
Mailing address:
  • Phone: 916-525-1554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberG061993
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberG061993
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberG061993
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: