Doctor Name: | BRADLEY R HAMMERSLEY |
NPI Number: | 1295780872 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 07000906 |
Business Practice Address: | 632 W Main St Peru, IN - 469701747 |
Business Phone Number: | 7654734220 |
Business Fax Number: | 7654734223 |
Mailing Address: | 632 W Main St, PERU |
State: | IN |
Postal Code: | 469701747 |
Phone Number: | 7654734220 |
Fax Number: | 7654734223 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 02/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 07000906 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |