Hawkins, Nathanael L

Hawkins, Nathanael L is an individual health care provider with primary practice located at 1360 Brickyard Rd , Chipley FL 32428-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hawkins, Nathanael L can be contacted via phone (850) 638-1610.

Contact Information

Primary practice address
1360 Brickyard Rd Chipley FL 32428-6303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TRN12420 Florida

Profile Details

NPI number 1215104526
LBN Legal business name Hawkins, Nathanael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2008
Last updated Jun 21st, 2011 - about 15 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 1215104526 NPPES
Florida Other 149SJ BCBS
Florida MEDICAID 002733400 BCBS

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