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Contact Information

HARLEY J HAMMERMAN, MD
11615 OLIVE BLVD
CREVE COEUR, MO63141-7095
 Phone: 314-993-9555
 Fax: 314-993-9550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for HARLEY J HAMMERMAN · (Male)

NPI # 1245256197
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2006
Last updated 08/25/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036058699
  • MO License # R6869
  • IL Medicaid 036058699
  • MO Medicaid 201203502
  • IL Other 300099491 RAILROAD MEDICARE NUMBER
  • MO Other 300102475 RAILROAD MEDICARE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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