Provider Demographics
NPI:1316929227
Name:DAWSON, JOSEPH FRANKLIN (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANKLIN
Last Name:DAWSON
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:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:CALVIN
Mailing Address - State:WV
Mailing Address - Zip Code:26660-0040
Mailing Address - Country:US
Mailing Address - Phone:304-742-5999
Mailing Address - Fax:304-742-5998
Practice Address - Street 1:46 RED OAK DR
Practice Address - Street 2:
Practice Address - City:CRAIGSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26205-3102
Practice Address - Country:US
Practice Address - Phone:304-742-5999
Practice Address - Fax:304-742-5998
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1750207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVDA7333191Medicare ID - Type UnspecifiedCMS
WVH22823Medicare UPIN
P00459363Medicare PIN
WVDA4030715Medicare PIN
WV4030717Medicare PIN