Provider Demographics
NPI:1205075462
Name:HAWKINS, JAMIE R (DC)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:R
Last Name:HAWKINS
Suffix:
Gender:M
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:PO BOX 446
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88004-0446
Mailing Address - Country:US
Mailing Address - Phone:575-520-6002
Mailing Address - Fax:
Practice Address - Street 1:755 S TELSHOR BLVD STE R102
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4681
Practice Address - Country:US
Practice Address - Phone:575-532-1116
Practice Address - Fax:575-532-7050
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor