Provider Demographics
NPI:1881656676
Name:HAMER, ERIKA RACHEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:RACHEL
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 1:100 CORRIDOR RD S
Mailing Address - Street 2:STE 220
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-8205
Mailing Address - Country:US
Mailing Address - Phone:904-273-2691
Mailing Address - Fax:904-273-4607
Practice Address - Street 1:100 CORRIDOR RD S
Practice Address - Street 2:STE 220
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-8205
Practice Address - Country:US
Practice Address - Phone:904-273-2691
Practice Address - Fax:904-273-4607
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8499111N00000X
GACHIR007355111N00000X
SC2765111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00222351OtherRAILROAD MEDICARE
FL88720OtherBLUE CROSS BLUE SHIELD
FL381845400Medicaid
FL381845400Medicaid
FL88720AMedicare PIN