Hamerly, John P

Hamerly, John P is an individual health care provider with primary practice located at 3220 Bellaire Ave , White Bear Lake MN 55110-5854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hamerly, John P can be contacted via phone (651) 777-8149.

Contact Information

Primary practice address
3220 Bellaire Ave White Bear Lake MN 55110-5854
Phone: (651) 777-8149
Fax: (651) 777-4513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30447 Minnesota

Profile Details

NPI number 1700897881
LBN Legal business name Hamerly, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Oct 14th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700897881 NPPES
Minnesota MEDICAID 383087000

Popular Providers