Hammel, Mary M
Hammel, Mary M is an individual health care provider with primary practice located at 1203 Smizer Mill Rd Suite 105, Fenton MO 63026-3483. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hammel, Mary M can be contacted via phone (636) 717-1350.Contact Information
Primary practice address
1203 Smizer Mill Rd Suite 105
Fenton MO 63026-3483
Phone: (636) 717-1350
Fax: (636) 717-1355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2010035829 | Missouri |
Profile Details
| NPI number | 1598067779 |
|---|---|
| LBN Legal business name | Hammel, Mary M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2010 |
| Last updated | Apr 14th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598067779 | NPPES |
| Missouri | Other | P01276098 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 1598067779 | RAILROAD MEDICARE |
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