Provider Demographics
NPI:1578596011
Name:JOSEPH B. HAWKINS JR.,MD, INC.
Entity Type:Organization
Organization Name:JOSEPH B. HAWKINS JR.,MD, INC.
Other - Org Name:SIERRA ENDOCRINE ASSOCIATES MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:559-431-6197
Mailing Address - Street 1:7230 N MILLBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3340
Mailing Address - Country:US
Mailing Address - Phone:559-431-6197
Mailing Address - Fax:559-431-8827
Practice Address - Street 1:7230 N MILLBROOK AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3340
Practice Address - Country:US
Practice Address - Phone:559-431-6197
Practice Address - Fax:559-431-8827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51019174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ01111ZMedicare PIN