Provider Demographics
NPI:1073122206
Name:HOPKINS, DAVID MICHAEL (EMT)
Entity Type:Individual
Prefix:MRS
First Name:DAVID
Middle Name:MICHAEL
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4275 PALM AVE APT 17
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-6557
Mailing Address - Country:US
Mailing Address - Phone:240-342-1936
Mailing Address - Fax:
Practice Address - Street 1:4275 PALM AVE APT 17
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-6557
Practice Address - Country:US
Practice Address - Phone:240-342-1936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman