Provider Demographics
NPI:1356505887
Name:HAMER, JENNIFER G (DC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:G
Last Name:HAMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1658 BENTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-3513
Mailing Address - Country:US
Mailing Address - Phone:318-747-4433
Mailing Address - Fax:318-747-4454
Practice Address - Street 1:1658 BENTON RD STE 100
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-3513
Practice Address - Country:US
Practice Address - Phone:318-491-4659
Practice Address - Fax:318-497-7414
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1486111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor