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Contact Information

CORY T HAMMOND, PA
208 COLUMBUS ST
HICKSVILLE, OH43526
 Phone: 419-542-6692
 Fax: 419-542-5667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CORY T HAMMOND · (Male)

NPI # 1376845370
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/23/2010
Last updated 08/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 10001240A
  • OH License # 50.004015RX
  • IN Medicaid OPR
  • OH Medicaid 0203880
  • Other 000000690186 ANTHEM
  • IN Other 000000690186 ANTHEM
Hospital affiliation(s)
  • COMMUNITY MEMORIAL HOSPITAL - (Critical Access)
    208 N COLUMBUS ST
    HICKSVILLE, OH 43526
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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