Healthcare Provider Details

I. General information

NPI: 1982964268
Provider Name (Legal Business Name): HAWKINS CHIROPRACTIC CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 S TELSHOR BLVD STE R101
LAS CRUCES NM
88011-4688
US

IV. Provider business mailing address

PO BOX 446
LAS CRUCES NM
88004-0446
US

V. Phone/Fax

Practice location:
  • Phone: 575-532-1116
  • Fax: 575-532-7050
Mailing address:
  • Phone: 575-520-6002
  • Fax: 575-532-7050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JAMIE HAWKINS
Title or Position: ORGANIZER/SOLE MEMBER
Credential: DC
Phone: 575-520-6002