Leo R Hammond, B.A.

Individual provider Active NPI Case Manager/Care Coordinator · Thermopolis, WY

NPI 1457564809 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1457564809
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
121 S 4TH St
Thermopolis, WY 82443-2634
Phone
(307) 864-3138
Fax
(307) 864-3139
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X WY Yes

Addresses

Primary practice location

121 S 4TH St
Thermopolis, WY 82443-2634

Mailing address

121 S 4TH St
Thermopolis, WY 82443-2634
Phone (307) 864-3138

Other providers in Thermopolis, WY

All providers in Thermopolis, WY · Case Manager/Care Coordinator in Wyoming

Sources for this page

Verify at the official NPI Registry.