Provider Demographics
NPI:1972929982
Name:HOPSICKER WELLNESS INC
Entity Type:Organization
Organization Name:HOPSICKER WELLNESS INC
Other - Org Name:ALEXANDRIA WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOPSICKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-347-7530
Mailing Address - Street 1:5901 KINGSTOWNE VILLAGE PKWY
Mailing Address - Street 2:SUITE 100 (PO BOX 150514)
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5880
Mailing Address - Country:US
Mailing Address - Phone:703-347-7530
Mailing Address - Fax:703-347-7531
Practice Address - Street 1:5901 KINGSTOWNE VILLAGE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-5880
Practice Address - Country:US
Practice Address - Phone:703-347-7530
Practice Address - Fax:703-347-7531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556533111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty