Provider Demographics
NPI:1730571860
Name:HAWKINS, ADAM DOUGLAS (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:DOUGLAS
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:403 OVERLAND AVE
Mailing Address - Street 2:STE A
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-8050
Mailing Address - Country:US
Mailing Address - Phone:907-243-0660
Mailing Address - Fax:907-248-5481
Practice Address - Street 1:4000 W DIMOND BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-1475
Practice Address - Country:US
Practice Address - Phone:907-243-0660
Practice Address - Fax:907-248-5481
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX120508111N00000X
AK606111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor