Provider Demographics
NPI:1043684442
Name:HEM, BOPHANY (DC)
Entity Type:Individual
Prefix:
First Name:BOPHANY
Middle Name:
Last Name:HEM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 S CHAMBERS RD
Mailing Address - Street 2:STE C
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4547
Mailing Address - Country:US
Mailing Address - Phone:757-873-8701
Mailing Address - Fax:757-873-6737
Practice Address - Street 1:2295 S CHAMBERS RD
Practice Address - Street 2:STE C
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4547
Practice Address - Country:US
Practice Address - Phone:303-696-6691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-23
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557287111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor