Healthcare Provider Details

I. General information

NPI: 1184120545
Provider Name (Legal Business Name): GLOBAL MILLENNIUM INTERNATIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 04/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3514 WOODHAVEN RD
PHILADELPHIA PA
19154-2623
US

IV. Provider business mailing address

3514 WOODHAVEN RD
PHILADELPHIA PA
19154-2623
US

V. Phone/Fax

Practice location:
  • Phone: 215-779-7355
  • Fax:
Mailing address:
  • Phone: 215-779-7355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number923120
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number923120
License Number StatePA

VIII. Authorized Official

Name: DR. PAUL E. HOPKINS
Title or Position: CEO/PRESIDENT
Credential: CDSM, ND
Phone: 215-779-7355