Hammen, Judd Douglas

Hammen, Judd Douglas is an individual health care provider with primary practice located at 1450 Sheboygan St , Oshkosh WI 54904-8814. He recently has only one registered license in Nursing Service Providers / Home Health, which is considered as his primary health care specialty. Hammen, Judd Douglas can be contacted via phone (920) 235-4553.

Contact Information

Primary practice address
1450 Sheboygan St Oshkosh WI 54904-8814
Phone: (920) 235-4553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X Wisconsin

Profile Details

NPI number 1619937653
LBN Legal business name Hammen, Judd Douglas
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 9th, 2007 - about 17 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 1619937653 NPPES
Wisconsin MEDICAID 39981700

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