Provider Demographics
NPI:1053778035
Name:HAMMERMEISTER, DAVID H SR
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:H
Last Name:HAMMERMEISTER
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 RISING SUN LN
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MT
Mailing Address - Zip Code:59870-6367
Mailing Address - Country:US
Mailing Address - Phone:406-209-4510
Mailing Address - Fax:
Practice Address - Street 1:695 RISING SUN LN
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MT
Practice Address - Zip Code:59870-6367
Practice Address - Country:US
Practice Address - Phone:406-209-4510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPSC9505344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi