Provider Demographics
NPI:1134907918
Name:HAMILTON, MICHELLE L (MPH)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:MIKI
Other - Middle Name:L
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPH
Mailing Address - Street 1:687 HALE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-4226
Mailing Address - Country:US
Mailing Address - Phone:419-606-7443
Mailing Address - Fax:
Practice Address - Street 1:687 HALE AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-4226
Practice Address - Country:US
Practice Address - Phone:419-606-7443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174H00000XOther Service ProvidersHealth Educator