Abraham Joseph Hammell, D.O.
Individual provider Active NPI General Practice Physician · Caledonia, MN
NPI 1730156563 · NPPES record last updated Oct 15, 2010
Key facts
- NPI
- 1730156563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 50512 (MN)
- Practice address
- 424 S Marshall St
Caledonia, MN 55921-1331 - Phone
- (630) 679-5879
- Fax
- (507) 724-1213
- NPI assigned
- Mar 1, 2006
- 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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50512 | MN | MD | General Practice Physician |
| OP00001875 | WA | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OP00001875 | WA | |
| General Practice Physician | 208D00000X | 50512 | MN | Yes |
Addresses
Primary practice location
424 S Marshall St
Caledonia, MN 55921-1331
Mailing address
424 S Marshall St
Caledonia, MN 55921-1331
Phone (630) 679-5879
Other providers in Caledonia, MN
- Families First Counseling Services LLC
- Family Dental Center of Caledonia LLC
- James John Fink
- Gundersen Clinic LTD
- Keli Gwost
- Amanda Mae Hartzell Middendorf
- Herman Dental Clinic PA
- Sarah Ruth Herman
- Hiawatha Valley Mental Health Center
- Houston County Auditor
All providers in Caledonia, MN · General Practice Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.