Hawkins, Dale Wade

Hawkins, Dale Wade is an individual health care provider with primary practice located at 5840 N La Cholla Blvd , Tucson AZ 85741-3537. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Hawkins, Dale Wade can be contacted via phone (520) 519-8560.

Contact Information

Primary practice address
5840 N La Cholla Blvd Tucson AZ 85741-3537
Phone: (520) 519-8560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 4704165653 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP3146 Arizona

Profile Details

NPI number 1427107101
LBN Legal business name Hawkins, Dale Wade
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Aug 3rd, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427107101 NPPES
Arizona MEDICAID 366792
Arizona MEDICAID 4670866

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