Provider Demographics
NPI:1053529966
Name:HAMMERSTROM, STEVE BERNT (DOCTOR OF CHIROPRACT)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:BERNT
Last Name:HAMMERSTROM
Suffix:
Gender:M
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 B SCOTT COURT
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245
Mailing Address - Country:US
Mailing Address - Phone:319-354-7530
Mailing Address - Fax:319-354-7530
Practice Address - Street 1:373 B SCOTT COURT
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245
Practice Address - Country:US
Practice Address - Phone:319-354-7530
Practice Address - Fax:319-354-7530
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04956111N00000X
NH5800100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA09810OtherBCBS
IA09812OtherBCBS
IA09810Medicare ID - Type Unspecified