Provider Demographics
NPI:1811184377
Name:HAMER CHIROPRACTIC CENTER, P.C.
Entity type:Organization
Organization Name:HAMER CHIROPRACTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:HAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-201-2653
Mailing Address - Street 1:3010 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-1736
Mailing Address - Country:US
Mailing Address - Phone:814-940-8888
Mailing Address - Fax:814-940-8988
Practice Address - Street 1:3010 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-1736
Practice Address - Country:US
Practice Address - Phone:814-940-8888
Practice Address - Fax:814-940-8988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006598L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4356510Medicaid
MI4356510Medicaid
U62783Medicare UPIN