Hammack, David Nagel

Hammack, David Nagel is an individual health care provider with primary practice located at 4101 Medical Center Dr , Fayetteville NY 13066-6600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hammack, David Nagel can be contacted via phone (315) 637-7878.

Contact Information

Primary practice address
4101 Medical Center Dr Fayetteville NY 13066-6600
Phone: (315) 637-7878
Fax: (315) 637-7870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 016022 New York

Profile Details

NPI number 1497006043
LBN Legal business name Hammack, David Nagel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2012
Last updated Feb 18th, 2013 - about 12 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 1497006043 NPPES
New York MEDICAID 03522534

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