Hawthorne, Michael L

Hawthorne, Michael L is an sole proprietor health care provider with primary practice located at 855 Belanger St Suite 208, Houma LA 70360-4463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Hawthorne, Michael L can be contacted via phone (985) 872-6210.

Contact Information

Primary practice address
855 Belanger St Suite 208 Houma LA 70360-4463
Fax: (985) 876-7743
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 33315 Louisiana

Profile Details

NPI number 1235159252
LBN Legal business name Hawthorne, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Apr 13th, 2017 - 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 1235159252 NPPES
Louisiana Other P00385330 RAILROAD MEDICARE
Louisiana MEDICAID 1571431 RAILROAD MEDICARE

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