Provider Demographics
NPI:1427060250
Name:HAMAN, HERBERT JONES (DPT)
Entity type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:JONES
Last Name:HAMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 E SAN MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:BOLIVAR
Mailing Address - State:MO
Mailing Address - Zip Code:65613-2897
Mailing Address - Country:US
Mailing Address - Phone:417-777-2888
Mailing Address - Fax:417-777-4597
Practice Address - Street 1:850 E SAN MARTIN ST
Practice Address - Street 2:
Practice Address - City:BOLIVAR
Practice Address - State:MO
Practice Address - Zip Code:65613-2897
Practice Address - Country:US
Practice Address - Phone:417-777-2888
Practice Address - Fax:417-777-4597
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1074002251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOPENDINGMedicaid
MOPENDINGMedicaid