Provider Demographics
NPI:1184120545
Name:GLOBAL MILLENNIUM INTERNATIONAL
Entity type:Organization
Organization Name:GLOBAL MILLENNIUM INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:CDSM, ND
Authorized Official - Phone:215-779-7355
Mailing Address - Street 1:3514 WOODHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-2623
Mailing Address - Country:US
Mailing Address - Phone:215-779-7355
Mailing Address - Fax:
Practice Address - Street 1:3514 WOODHAVEN RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19154-2623
Practice Address - Country:US
Practice Address - Phone:215-779-7355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA174H00000X
PA923120251K00000X, 261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No251K00000XAgenciesPublic Health or Welfare