Hawkins, Wayne R

Hawkins, Wayne R is an individual health care provider with primary practice located at 1510 Crown Dr , Kirksville MO 63501-2553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hawkins, Wayne R can be contacted via phone (660) 627-8387.

Contact Information

Primary practice address
1510 Crown Dr Kirksville MO 63501-2553
Fax: (660) 627-0878
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R5C53 Missouri

Profile Details

NPI number 1841275740
LBN Legal business name Hawkins, Wayne R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Nov 6th, 2012 - about 12 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 1841275740 NPPES
Missouri MEDICAID 241749126

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