Provider Demographics
NPI:1588697445
Name:HAMLIN, JAMES M (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:HAMLIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:947 WINCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7446
Mailing Address - Country:US
Mailing Address - Phone:606-326-1231
Mailing Address - Fax:
Practice Address - Street 1:947 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7446
Practice Address - Country:US
Practice Address - Phone:606-326-1231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4539111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV2202070000Medicaid
OH2172465Medicaid
KY85000081Medicaid
KY00668001Medicare PIN
KYU79441Medicare UPIN