Jordan Kyle Hawkins, D.C.
Individual provider Active NPI Chiropractor · Loogootee, IN
NPI 1821379330 · NPPES record last updated Aug 30, 2011
Key facts
- NPI
- 1821379330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08002598A (IN)
- Practice address
- 211 SE 1St St
Loogootee, IN 47553-1608 - Phone
- (812) 295-3346
- Fax
- (812) 295-4259
- NPI assigned
- Aug 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
- L Brooke Hawkins DC LLC
Practice addresses (Care Compare)
1 Loogootee PLZ
Loogootee, IN 47553-5757
Phone (812) 295-3346
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111108000109 | IN | Practitioner - Chiropractic | 2264605211 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002598A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L Brooke Hawkins DC LLC | Chiropractor | Current |
Accepting new patients |
| Hawkins Health Center of French Lick, LLC | Chiropractor | Current |
Accepting new patients |
| Omer Chiropractic Clinic PC | Chiropractor | Past | Accepting new patients |
Locations
8695 W Jack Carnes Way
Ste 9
French Lick, IN 47432
Phone (812) 295-3346
211 SE 1st St
Loogootee, IN 47553
Phone (812) 295-3346
1 Loogootee Plz
Loogootee, IN 47553
Phone (812) 295-3346
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002598A | 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 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 Aug 30, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.