Provider Demographics
NPI:1326088980
Name:HAWKINS, ROBERT S (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 KELLEY RD
Mailing Address - Street 2:
Mailing Address - City:ORONO
Mailing Address - State:ME
Mailing Address - Zip Code:04473-3416
Mailing Address - Country:US
Mailing Address - Phone:207-866-4399
Mailing Address - Fax:207-866-4538
Practice Address - Street 1:84 KELLEY RD
Practice Address - Street 2:
Practice Address - City:ORONO
Practice Address - State:ME
Practice Address - Zip Code:04473-3416
Practice Address - Country:US
Practice Address - Phone:207-866-4399
Practice Address - Fax:207-866-4538
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MET0539204D00000X
ME1954207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEC66394Medicare UPIN
ME015375Medicare ID - Type Unspecified