Provider Demographics
NPI:1013243716
Name:HAMM CHIROPRACTIC S.C.
Entity Type:Organization
Organization Name:HAMM CHIROPRACTIC S.C.
Other - Org Name:HAMM CHIROPRACTIC & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-835-2225
Mailing Address - Street 1:971 JANESVILLE ST
Mailing Address - Street 2:SUITEB
Mailing Address - City:OREGON
Mailing Address - State:WI
Mailing Address - Zip Code:53575-3500
Mailing Address - Country:US
Mailing Address - Phone:608-835-2225
Mailing Address - Fax:608-835-2221
Practice Address - Street 1:971 JANESVILLE ST
Practice Address - Street 2:SUITEB
Practice Address - City:OREGON
Practice Address - State:WI
Practice Address - Zip Code:53575-3500
Practice Address - Country:US
Practice Address - Phone:608-835-2225
Practice Address - Fax:608-835-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI452512111N00000X
WI4529012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1033341144OtherNPI
WI1184857260OtherNPI