Hammons, Mark A

Hammons, Mark A is an individual health care provider with primary practice located at 220 Berger Rd , Paducah KY 42003-4522. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hammons, Mark A can be contacted via phone (270) 442-4396.

Contact Information

Primary practice address
220 Berger Rd Paducah KY 42003-4522
Phone: (270) 442-4396
Fax: (270) 442-3346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT001462 Kentucky

Profile Details

NPI number 1457332009
LBN Legal business name Hammons, Mark A
Credentials L.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Sep 17th, 2008 - about 18 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 1457332009 NPPES
Kentucky Other 000000048013 ANTHEM
Kentucky Other 0044942003 ANTHEM

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