Provider Demographics
NPI:1194123489
Name:HAMMAN, DONALD
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:HAMMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:962A S WESTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-8928
Mailing Address - Country:US
Mailing Address - Phone:559-853-5854
Mailing Address - Fax:559-746-0353
Practice Address - Street 1:962A S WESTWOOD RD
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-8928
Practice Address - Country:US
Practice Address - Phone:559-853-5854
Practice Address - Fax:559-746-0353
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility