Provider Demographics
NPI:1659435428
Name:DAWRS, JILL LESLIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:LESLIE
Last Name:DAWRS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 KAMEHAMEHA AVE
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2835
Mailing Address - Country:US
Mailing Address - Phone:808-935-0004
Mailing Address - Fax:808-961-5439
Practice Address - Street 1:210 KAMEHAMEHA AVE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2835
Practice Address - Country:US
Practice Address - Phone:808-935-0004
Practice Address - Fax:808-961-5439
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-584111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI52194Medicare UPIN
HI52193Medicare ID - Type UnspecifiedMEDICARE GROUP #