Provider Demographics
NPI:1457338394
Name:HAUK, HELEN (MD)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:HAUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 S DORA ST
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-5711
Mailing Address - Country:US
Mailing Address - Phone:707-462-8603
Mailing Address - Fax:707-462-8605
Practice Address - Street 1:844 S DORA ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-5711
Practice Address - Country:US
Practice Address - Phone:707-462-8603
Practice Address - Fax:707-462-8605
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP8999207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine