Carl Hawkins, M.D.
Individual provider Active NPI Family Medicine Physician · Saint Ignace, MI
NPI 1154345114 · NPPES record last updated Nov 5, 2019
Key facts
- NPI
- 1154345114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301048606 (MI)
- Practice address
- 1140 N State St
Saint Ignace, MI 49781-1048 - Phone
- (906) 643-0466
- Fax
- (906) 643-0464
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301048606 | MI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301048606 | MI | Yes |
Addresses
Primary practice location
1140 N State St
Saint Ignace, MI 49781-1048
Mailing address
1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-0466
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A66561 | Medicaid | MI |
Other providers in Saint Ignace, MI
- Great Lakes Recovery Centers
- Christopher John Gunnell
- Mark Halvorsen
- Sarah M Halvorsen
- Theresa Harris
- Hearing First, Inc. St. Ignace
- Leah Heffernan
- Lene A Heinlen
- Hiawatha Community Mental Health Authority
- Ashley May Hilbrand
All providers in Saint Ignace, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.