Provider Demographics
NPI:1720400393
Name:CHERIE HAMMER LLC
Entity Type:Organization
Organization Name:CHERIE HAMMER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHAIRMAN OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:MICHAELE
Authorized Official - Last Name:HAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NCC
Authorized Official - Phone:303-903-0278
Mailing Address - Street 1:6755 LIONSHEAD PKWY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80124-9533
Mailing Address - Country:US
Mailing Address - Phone:303-903-0278
Mailing Address - Fax:
Practice Address - Street 1:1745 SHEA CENTER DR FL 4
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-1537
Practice Address - Country:US
Practice Address - Phone:303-903-0278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0012948305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization