Healthcare Provider Details

I. General information

NPI: 1235287392
Provider Name (Legal Business Name): JAMES PAUL HOPKINS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 S STATE RD 57
WASHINGTON IN
47501-4334
US

IV. Provider business mailing address

PO BOX 514
WASHINGTON IN
47501-0514
US

V. Phone/Fax

Practice location:
  • Phone: 812-254-8925
  • Fax: 812-254-8926
Mailing address:
  • Phone: 812-254-8925
  • Fax: 812-254-8926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number08000512A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: