Provider Demographics
NPI:1851585921
Name:HOOPS, CARISSA JOY (DC)
Entity Type:Individual
Prefix:
First Name:CARISSA
Middle Name:JOY
Last Name:HOOPS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CARISSA
Other - Middle Name:JOY
Other - Last Name:LOEMKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:829 W COURT ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-3578
Mailing Address - Country:US
Mailing Address - Phone:402-228-8877
Mailing Address - Fax:402-223-0748
Practice Address - Street 1:829 W COURT ST
Practice Address - Street 2:SUITE 2
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3578
Practice Address - Country:US
Practice Address - Phone:402-228-8877
Practice Address - Fax:402-223-0748
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1464111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor