Provider Demographics
NPI:1336128735
Name:HAMMOND, JOHN JOSEPH (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 818
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO FALLS
Mailing Address - State:NH
Mailing Address - Zip Code:03896-0818
Mailing Address - Country:US
Mailing Address - Phone:603-569-4761
Mailing Address - Fax:603-569-4761
Practice Address - Street 1:29 MILL ST
Practice Address - Street 2:UNIT D5
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4328
Practice Address - Country:US
Practice Address - Phone:603-569-4761
Practice Address - Fax:603-569-4761
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH165213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80488254Medicaid
NH1118970001Medicare NSC
NHT25730Medicare UPIN
NH80488254Medicaid