1639515612 NPI number — DR. LAURA JOYE HAMMON M.D.

Table of content: DR. LAURA JOYE HAMMON M.D. (NPI 1639515612)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639515612 NPI number — DR. LAURA JOYE HAMMON M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMMON
Provider First Name:
LAURA
Provider Middle Name:
JOYE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HAMMON
Provider Other First Name:
LAURA
Provider Other Middle Name:
JOYE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639515612
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PSC 819 BOX 4580
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FPO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09645-0046
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOSPITAL AMERICANO
Provider Second Line Business Practice Location Address:
BASE NAVAL DE ROTA
Provider Business Practice Location Address City Name:
ROTA
Provider Business Practice Location Address State Name:
CADIZ
Provider Business Practice Location Address Postal Code:
11530
Provider Business Practice Location Address Country Code:
ES
Provider Business Practice Location Address Telephone Number:
314-727-3606
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171000000X , with the licence number:  2014032443 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: 20140332443 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)