MEDICARE: DR. DAVID L HAWK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MD013696E	PA
2	207Q00000X	Family Medicine Physician	MD013696E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275696817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID L HAWK MD

Provider Business Mailing Address
First Line	:	435 W PHILADELPHIA ST
Second Line	:	ALBERT S. WEYER HEALTH CENTER
City	:	YORK
State	:	PA
Zip	:	17401-3340
Country	:	US
Telephone Number	:	717-849-2299
Fax Number	:	717-843-5605

Provider Business Practice Location Address
First Line	:	435 WEST PHILADELPHIA ST.
Second Line	:	ALBERT S. WEYER HEALTH CENTER
City	:	YORK
State	:	PA
Zip	:	17401-3340
Country	:	US
Telephone Number	:	717-849-2299
Fax Number	:	717-843-5605

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	03/19/2009

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