Hawksley, Carlene A

Hawksley, Carlene A is an individual health care provider with primary practice located at 1555 Soquel Avenue , Santa Cruz CA 95065-1705. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Hawksley, Carlene A can be contacted via phone (831) 462-7700.

Contact Information

Primary practice address
1555 Soquel Avenue Santa Cruz CA 95065-1705
Phone: (831) 462-7700
Fax: (831) 462-7607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G53698 California
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD214004 Oregon

Profile Details

NPI number 1518030022
LBN Legal business name Hawksley, Carlene A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Feb 7th, 2023 - about 2 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 1518030022 NPPES
California Other G53698 CA STATE LICENSE

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