Provider Demographics
NPI:1245223031
Name:HAMMON, DONALD L (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:L
Last Name:HAMMON
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 1:72 MAYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-2008
Mailing Address - Country:US
Mailing Address - Phone:415-751-2225
Mailing Address - Fax:415-751-1293
Practice Address - Street 1:4411 GEARY BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3044
Practice Address - Country:US
Practice Address - Phone:415-751-2225
Practice Address - Fax:415-751-1293
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21705111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0217050Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER