MEDICARE: MS. JOYCE A HAWKINS MS

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	231H00000X	Audiologist	23000868A	IN

General Provider Information

NPI Number	:	1013923036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOYCE A HAWKINS MS

Provider Business Mailing Address
First Line	:	601 STADIUM MALL DRIVE
Second Line	:
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47907-2052
Country	:	US
Telephone Number	:	765-496-1927
Fax Number	:	765-496-1227

Provider Business Practice Location Address
First Line	:	1353 HEAVILON HALL
Second Line	:	500 OVAL DRIVE
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47907-2038
Country	:	US
Telephone Number	:	765-496-6132
Fax Number	:	765-494-0771

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/08/2007

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