Provider Demographics
NPI:1801819305
Name:HAMMETT, MATTHEW ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ANDREW
Last Name:HAMMETT
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:PO BOX 11988
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46411
Mailing Address - Country:US
Mailing Address - Phone:219-769-5433
Mailing Address - Fax:
Practice Address - Street 1:3610 W 80TH LN
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5061
Practice Address - Country:US
Practice Address - Phone:219-769-5433
Practice Address - Fax:219-769-6072
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002162A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INV01933Medicare UPIN
232050BMedicare ID - Type Unspecified