Healthcare Provider Details

I. General information

NPI: 1619974698
Provider Name (Legal Business Name): CHRISTOPHER JON HAMMER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 ARTHUR DR
MILTON WI
53563-3720
US

IV. Provider business mailing address

840 ARTHUR DR
MILTON WI
53563-3720
US

V. Phone/Fax

Practice location:
  • Phone: 608-868-4343
  • Fax: 608-868-5181
Mailing address:
  • Phone: 608-868-4343
  • Fax: 608-868-5181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number3041-012
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: