Hawkins, Jeremy Alan

Hawkins, Jeremy Alan is an sole proprietor health care provider with primary practice located at 1501 Kings Hwy , Shreveport LA 71103-4228. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Hawkins, Jeremy Alan can be contacted via phone (318) 675-5053.

Contact Information

Primary practice address
1501 Kings Hwy Shreveport LA 71103-4228
Phone: (318) 675-5053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.206545 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.206545 Louisiana

Profile Details

NPI number 1790076438
LBN Legal business name Hawkins, Jeremy Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2011
Last updated Jan 7th, 2016 - about 9 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 1790076438 NPPES
Louisiana MEDICAID 2144057

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