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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427107101 | NPPES |
Arizona | MEDICAID | 366792 | |
Arizona | MEDICAID | 4670866 |
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