Hawkins, Roger Dale
Hawkins, Roger Dale is an individual health care provider with primary practice located at 2775 State Route 39 , Shelby OH 44875-9466. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hawkins, Roger Dale can be contacted via phone (419) 747-3322.Contact Information
Primary practice address
2775 State Route 39
Shelby OH 44875-9466
Phone: (419) 747-3322
Fax: (419) 747-3504
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LICDC.161393 | Ohio |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.2102610-SUPV | Ohio |
Profile Details
NPI number | 1215443544 |
---|---|
LBN Legal business name | Hawkins, Roger Dale |
Credentials | LISW-S, LICDC-CS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 22nd, 2017 |
Last updated | Apr 26th, 2024 - about 8 months 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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