Provider Demographics
NPI:1942544960
Name:HAWKE MEDICAL
Entity Type:Organization
Organization Name:HAWKE MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:WIECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-708-5069
Mailing Address - Street 1:3621 HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-1044
Mailing Address - Country:US
Mailing Address - Phone:615-708-5069
Mailing Address - Fax:615-250-3536
Practice Address - Street 1:3621 HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-1044
Practice Address - Country:US
Practice Address - Phone:615-708-5069
Practice Address - Fax:615-250-3536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN170552332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies