Provider Demographics
NPI:1275696817
Name:HAWK, DAVID L (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:HAWK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:435 W PHILADELPHIA ST
Mailing Address - Street 2:ALBERT S. WEYER HEALTH CENTER
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-3340
Mailing Address - Country:US
Mailing Address - Phone:717-849-2299
Mailing Address - Fax:717-843-5605
Practice Address - Street 1:435 WEST PHILADELPHIA ST.
Practice Address - Street 2:ALBERT S. WEYER HEALTH CENTER
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-3340
Practice Address - Country:US
Practice Address - Phone:717-849-2299
Practice Address - Fax:717-843-5605
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD013696E101YM0800X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006372820005Medicaid
PA0006372820005Medicaid
PAHA113044Medicare ID - Type Unspecified