Provider Demographics
NPI:1184857260
Name:HAMM, DANIEL EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EDWARD
Last Name:HAMM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:971 JANESVILLE ST STE B
Mailing Address - Street 2:SUITE B
Mailing Address - City:OREGON
Mailing Address - State:WI
Mailing Address - Zip Code:53575-3500
Mailing Address - Country:US
Mailing Address - Phone:608-835-2225
Mailing Address - Fax:
Practice Address - Street 1:971 JANESVILLE ST STE B
Practice Address - Street 2:SUITE B
Practice Address - City:OREGON
Practice Address - State:WI
Practice Address - Zip Code:53575-3500
Practice Address - Country:US
Practice Address - Phone:608-835-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4525-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor