Provider Demographics
NPI:1679629695
Name:HOPSON, CAROL D (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:D
Last Name:HOPSON
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 1:2440 M ST NW
Mailing Address - Street 2:#807
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-321-6221
Mailing Address - Fax:202-887-1833
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:#807
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-321-6221
Practice Address - Fax:202-887-1833
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCH30007111N00000X
VA0225021027111N00000X
MD01952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
7837532OtherFIRST HEALTH
381143OtherUNITED HEALTHCARE
U84181Medicare UPIN
490636Medicare ID - Type Unspecified