Provider Demographics
NPI:1396875811
Name:HAWKINS, MICAIRE LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:MICAIRE
Middle Name:LYNN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MICAIRE
Other - Middle Name:LYNN
Other - Last Name:BAXTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:4348 WAIALAE AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5767
Mailing Address - Country:US
Mailing Address - Phone:808-388-7682
Mailing Address - Fax:
Practice Address - Street 1:677 ALA MOANA BLVD. #914
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-521-9686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI986111N00000X
HIDC986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor