Provider Demographics
NPI:1750591095
Name:HAMMAN, JACOBUS JOHANNES (MDIV, THM, PHD)
Entity type:Individual
Prefix:DR
First Name:JACOBUS
Middle Name:JOHANNES
Last Name:HAMMAN
Suffix:
Gender:M
Credentials:MDIV, THM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-3241
Mailing Address - Country:US
Mailing Address - Phone:616-546-2599
Mailing Address - Fax:616-546-2827
Practice Address - Street 1:222 S RIVER AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3144
Practice Address - Country:US
Practice Address - Phone:616-405-5019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral