Hawkins, Matthew Thomas

Hawkins, Matthew Thomas is an sole proprietor health care provider with primary practice located at 4800 Baseline Rd E104-444, Boulder CO 80303-2699. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Hawkins, Matthew Thomas can be contacted via phone (650) 636-5526.

Contact Information

Primary practice address
4800 Baseline Rd E104-444 Boulder CO 80303-2699
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 74091 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X DR.0045977 Colorado

Profile Details

NPI number 1972621100
LBN Legal business name Hawkins, Matthew Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Nov 9th, 2017 - about 8 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 1972621100 NPPES
Colorado MEDICAID 89725867

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