Provider Demographics
NPI:1427088087
Name:HAWKINS, JOSEPH THOMAS (DC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:THOMAS
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 1:108 E ARCTIC AVE
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-6254
Mailing Address - Country:US
Mailing Address - Phone:907-745-4357
Mailing Address - Fax:907-745-4606
Practice Address - Street 1:108 E ARCTIC AVE
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6254
Practice Address - Country:US
Practice Address - Phone:907-745-4357
Practice Address - Fax:907-745-4606
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK319111N00000X
UT349809-1202111N00000X
NVB00812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCH0319Medicaid
AKCH0319Medicaid
AKK150190Medicare PIN