Hawk, Jeremy A

Hawk, Jeremy A is an individual health care provider with primary practice located at 441 N Wabash Ave , Marion IN 46952-2612. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Hawk, Jeremy A can be contacted via phone (765) 660-7600.

Contact Information

Primary practice address
441 N Wabash Ave Marion IN 46952-2612
Phone: (765) 660-7600
Fax: (765) 651-7313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002734A Indiana

Profile Details

NPI number 1508011081
LBN Legal business name Hawk, Jeremy A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2008
Last updated Oct 20th, 2020 - 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 1508011081 NPPES
Other 000000594131 ANTHEM
MEDICAID 200922890 ANTHEM

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