Hawkins, Monty A
Hawkins, Monty A is an sole proprietor health care provider with primary practice located at 1003 Willow Creek Rd , Prescott AZ 86301-1641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Hawkins, Monty A can be contacted via phone (480) 985-1093.Contact Information
Primary practice address
1003 Willow Creek Rd
Prescott AZ 86301-1641
Phone: (480) 985-1093
Fax: (480) 296-7665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | R73586 | Arizona |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 57042 | Arizona |
Profile Details
| NPI number | 1508121526 |
|---|---|
| LBN Legal business name | Hawkins, Monty A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2012 |
| Last updated | Sep 26th, 2023 - about last year |
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 | 1508121526 | NPPES |
| Arizona | Other | R73586 | TRAINING PERMIT |
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