Hawthorne, Michael Stuart

Hawthorne, Michael Stuart is an individual health care provider with primary practice located at 1007 Lincolnway , La Porte IN 46350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hawthorne, Michael Stuart can be contacted via phone (219) 326-1234.

Contact Information

Primary practice address
1007 Lincolnway La Porte IN 46350
Fax: (219) 326-2699
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 04-31890 Kansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01074353A Indiana

Profile Details

NPI number 1750494381
LBN Legal business name Hawthorne, Michael Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Aug 21st, 2019 - about 5 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 1750494381 NPPES
Kansas MEDICAID 200389880A

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