Provider Demographics
NPI:1093033722
Name:HAWKINS CHIROPRACTIC
Entity Type:Organization
Organization Name:HAWKINS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:1575-647-1885
Mailing Address - Street 1:225 E IDAHO AVE
Mailing Address - Street 2:SUITE 25
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3257
Mailing Address - Country:US
Mailing Address - Phone:575-647-1885
Mailing Address - Fax:575-647-5157
Practice Address - Street 1:225 E IDAHO AVE
Practice Address - Street 2:SUITE 25
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3257
Practice Address - Country:US
Practice Address - Phone:575-647-1885
Practice Address - Fax:575-647-5157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty