Provider Demographics
NPI:1841481272
Name:HAMMETT, THOMAS JAMES (LA, RN)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:JAMES
Last Name:HAMMETT
Suffix:
Gender:M
Credentials:LA, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 N MADISON AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-4083
Mailing Address - Country:US
Mailing Address - Phone:317-946-6767
Mailing Address - Fax:
Practice Address - Street 1:520 N MADISON AVE
Practice Address - Street 2:SUITE H
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-4083
Practice Address - Country:US
Practice Address - Phone:317-946-6767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN84000084A171100000X
IN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse