Provider Demographics
NPI:1275689770
Name:HAWKINS DONOVAN & ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:HAWKINS DONOVAN & ASSOCIATES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JO
Authorized Official - Middle Name:HAWKINS
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:414-332-0300
Mailing Address - Street 1:705 E SILVER SPRING DR
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH BAY
Mailing Address - State:WI
Mailing Address - Zip Code:53217-5231
Mailing Address - Country:US
Mailing Address - Phone:414-332-0300
Mailing Address - Fax:414-332-5430
Practice Address - Street 1:705 E SILVER SPRING DR
Practice Address - Street 2:
Practice Address - City:WHITEFISH BAY
Practice Address - State:WI
Practice Address - Zip Code:53217-5231
Practice Address - Country:US
Practice Address - Phone:414-332-0300
Practice Address - Fax:414-332-5430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WICERT # 1395251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1395OtherCERT. # UNDER HFS 61.91