IndividualActive
Allison Hammond
NPI 1902535305 · Preferred Provider Organization · Portage, MI
Provider details
- NPI number
- 1902535305
- Entity type
- Individual
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
- Preferred Provider Organization305R00000X
Managed Care Organizations
Practice location
6045 Cypress St
Portage, MI 49024-2301
Phone: (269) 217-2205
Approximate (ZIP-level) locationGet directions
Mailing address
6045 Cypress St
Portage, MI 49024-2301
Registry dates
- Enumerated
- 2022-06-09
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.