MEDICARE: HANNAH HOPKINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	35.143431	OH
2	207Q00000X	Family Medicine Physician	35.143431	OH

General Provider Information

NPI Number	:	1285286971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH HOPKINS MD

Provider Business Mailing Address
First Line	:	11100 STATE ROUTE 41
Second Line	:
City	:	WEST UNION
State	:	OH
Zip	:	45693-8806
Country	:	US
Telephone Number	:	937-544-0400
Fax Number	:	937-779-3052

Provider Business Practice Location Address
First Line	:	11100 STATE ROUTE 41
Second Line	:
City	:	WEST UNION
State	:	OH
Zip	:	45693-8806
Country	:	US
Telephone Number	:	937-544-0400
Fax Number	:	937-779-3052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2019
Last Update Date	:	11/23/2022

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