Provider Demographics
NPI:1528129798
Name:HAMMER, THOMASIN K (DPM)
Entity type:Individual
Prefix:MRS
First Name:THOMASIN
Middle Name:K
Last Name:HAMMER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 N MULLAN RD
Mailing Address - Street 2:STE B
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99206-3853
Mailing Address - Country:US
Mailing Address - Phone:509-924-2600
Mailing Address - Fax:509-926-9865
Practice Address - Street 1:526 N MULLAN RD
Practice Address - Street 2:STE B
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99206-3853
Practice Address - Country:US
Practice Address - Phone:509-924-2600
Practice Address - Fax:509-926-9865
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO00000698213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1118868Medicaid
WA1118868Medicaid
V85371Medicare UPIN