Provider Demographics
NPI:1720348287
Name:HAMMACK, ONYEKACHI CHIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:ONYEKACHI
Middle Name:CHIKA
Last Name:HAMMACK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHIKA
Other - Middle Name:
Other - Last Name:HAMMACK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2935 HEALTH PKWY
Mailing Address - Street 2:ISABELLA CITIZENS FOR HEALTH
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-8931
Mailing Address - Country:US
Mailing Address - Phone:989-779-5270
Mailing Address - Fax:
Practice Address - Street 1:2935 HEALTH PKWY
Practice Address - Street 2:ISABELLA CITIZENS FOR HEALTH
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858
Practice Address - Country:US
Practice Address - Phone:989-779-5270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MI4301109582208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program