Hamman, Jack L

Hamman, Jack L is an individual health care provider with primary practice located at 800 Hospital Dr , Madisonville KY 42431-1658. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Hamman, Jack L can be contacted via phone (270) 326-3800.

Contact Information

Primary practice address
800 Hospital Dr Madisonville KY 42431-1658
Phone: (270) 326-3800
Fax: (270) 326-3805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 14714 Kentucky
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 14714 Kentucky
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 14714 Kentucky

Profile Details

NPI number 1033215017
LBN Legal business name Hamman, Jack L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Dec 4th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033215017 NPPES
Other 000000044325 BCBS PROVIDER NUMBER
Other 14714 BCBS PROVIDER NUMBER
MEDICAID 64147143 BCBS PROVIDER NUMBER

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