MEDICARE: HAMMER CHIROPRACTIC, LLC

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
1	261Q00000X	Clinic/Center	3041	WI

General Provider Information

NPI Number	:	1184887259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMMER CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	840 ARTHUR DR
Second Line	:
City	:	MILTON
State	:	WI
Zip	:	53563-3720
Country	:	US
Telephone Number	:	608-868-4343
Fax Number	:	608-868-5181

Provider Business Practice Location Address
First Line	:	840 ARTHUR DR
Second Line	:
City	:	MILTON
State	:	WI
Zip	:	53563-3720
Country	:	US
Telephone Number	:	608-868-4343
Fax Number	:	608-868-5181

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. CHRISTOPHER JON HAMMER
Credential	:	DC
Telephone Number	:	608-868-4343

Provider Enumeration Date	:	07/08/2008
Last Update Date	:	07/08/2008

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