Provider Demographics
NPI:1407890866
Name:DONALD HAMMETT, APMC
Entity Type:Organization
Organization Name:DONALD HAMMETT, APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-397-1616
Mailing Address - Street 1:6198 CYPRESS ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-9010
Mailing Address - Country:US
Mailing Address - Phone:318-397-1616
Mailing Address - Fax:318-397-1661
Practice Address - Street 1:6198 CYPRESS ST
Practice Address - Street 2:SUITE 3
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-9010
Practice Address - Country:US
Practice Address - Phone:318-397-1616
Practice Address - Fax:318-397-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1447625Medicaid
LADC6343OtherRAILROAD MEDICARE
LA1447625Medicaid