Healthcare Provider Details

I. General information

NPI: 1760401277
Provider Name (Legal Business Name): ELIZABETH ANN HAMMER AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 WALKER ST STE 200
KITTERY ME
03904-1727
US

IV. Provider business mailing address

14 MANCHESTER SQ
PORTSMOUTH NH
03801-8001
US

V. Phone/Fax

Practice location:
  • Phone: 207-438-9296
  • Fax:
Mailing address:
  • Phone: 207-475-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU2416
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAP4072
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA843
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: