Provider Demographics
NPI:1225200025
Name:HAMSHER, DOUGLAS JON (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:JON
Last Name:HAMSHER
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:933 S TALBOT ST STE 4
Mailing Address - Street 2:
Mailing Address - City:ST MICHAELS
Mailing Address - State:MD
Mailing Address - Zip Code:21663-2605
Mailing Address - Country:US
Mailing Address - Phone:410-745-0200
Mailing Address - Fax:833-908-2281
Practice Address - Street 1:933 S TALBOT ST STE 4
Practice Address - Street 2:
Practice Address - City:ST MICHAELS
Practice Address - State:MD
Practice Address - Zip Code:21663-2605
Practice Address - Country:US
Practice Address - Phone:410-745-0200
Practice Address - Fax:833-908-2281
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA051417363AM0700X
MDC03779363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical