Provider Demographics
NPI:1871031450
Name:ENSLEY-HAWKINS, DOLORES (DC)
Entity Type:Individual
Prefix:DR
First Name:DOLORES
Middle Name:
Last Name:ENSLEY-HAWKINS
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 1:511 WESTMINSTER AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-2202
Mailing Address - Country:US
Mailing Address - Phone:908-558-9500
Mailing Address - Fax:908-558-9505
Practice Address - Street 1:511 WESTMINSTER AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-2202
Practice Address - Country:US
Practice Address - Phone:908-558-9500
Practice Address - Fax:908-558-9505
Is Sole Proprietor?:No
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00548400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor