L Brooke Hawkins DC LLC
Organization Active NPI Chiropractor · Loogootee, IN
NPI 1194019620 · NPPES record last updated Jun 1, 2011
Key facts
- NPI
- 1194019620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08002538A (IN)
- Legal business name
- L BROOKE HAWKINS DC LLC
- Practice address
- 211 SE 1St St
Loogootee, IN 47553-1608 - Phone
- (812) 295-3346
- NPI assigned
- Jun 1, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Leslie Brooke Hawkins, D.C.
- Title
- Chiropractor
- Phone
- (812) 295-3346
Practitioners 4
-
Jordan Kyle Hawkins, D.C.
-
Leslie B Hawkins, D.C.
-
Chelsea Lannan, D.C.
-
Annemie Smith, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110823001038 | IN | Part B Supplier - Clinic/Group Practice | 3779753058 |
Receives reassigned benefits from 4 practitioners Practice locations: Loogootee, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 08002538A | IN | Yes |
Addresses
Primary practice location
211 SE 1St St
Loogootee, IN 47553-1608
Mailing address
211 SE 1St St
Loogootee, IN 47553-1608
Phone (812) 295-3346
Other names
- Hawkins Health Center
Other providers in Loogootee, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.