Provider Demographics
NPI:1649264045
Name:HAMMONS, WILLIAM HENRY JR (DC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HENRY
Last Name:HAMMONS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 W. BROADWAY
Mailing Address - Street 2:BLDG 2 STE A
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-4520
Mailing Address - Country:US
Mailing Address - Phone:573-449-7999
Mailing Address - Fax:573-449-7597
Practice Address - Street 1:201 W. BROADWAY
Practice Address - Street 2:BLDG 2 STE A
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203
Practice Address - Country:US
Practice Address - Phone:573-449-7999
Practice Address - Fax:573-449-7597
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE005052111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO251761OtherUNITED HEALTHCARE
MO414032OtherHEALTHLINK
MO7376OtherBCBS
MO251761OtherUNITED HEALTHCARE
T43475Medicare UPIN