Metcalf, Michael Hawkes

Metcalf, Michael Hawkes is an individual health care provider with primary practice located at 1820 Sidewinder Dr , Park City UT 84060-7492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Metcalf, Michael Hawkes can be contacted via phone (435) 655-6600.

Contact Information

Primary practice address
1820 Sidewinder Dr Park City UT 84060-7492
Fax: (435) 655-2388
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 4956934-1205 Utah

Profile Details

NPI number 1750333092
LBN Legal business name Metcalf, Michael Hawkes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 11th, 2007 - about 17 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 1750333092 NPPES
Utah Other TPRA09041 MOLINA ADVANTAGE
Utah Other 841433992MM2 MOLINA ADVANTAGE
Utah Other 49569348901001 MOLINA ADVANTAGE
Utah Other 68380 MOLINA ADVANTAGE
Utah Other 09-00368 MOLINA ADVANTAGE

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