Hawk, Gary D
Hawk, Gary D is an sole proprietor health care provider with primary practice located at 1825 Downs Dr , Erie PA 16509-7303. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hawk, Gary D can be contacted via phone (814) 864-8617.Contact Information
Primary practice address
1825 Downs Dr
Erie PA 16509-7303
Phone: (814) 864-8617
Fax: (814) 860-3286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OE004898P | Pennsylvania |
Profile Details
| NPI number | 1295890689 |
|---|---|
| LBN Legal business name | Hawk, Gary D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Feb 19th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295890689 | NPPES |
| Pennsylvania | MEDICAID | 1014504500001 |
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