Provider Demographics
NPI:1255537874
Name:HOPKINS FAMILY HEALTH CENTER
Entity type:Organization
Organization Name:HOPKINS FAMILY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-786-1555
Mailing Address - Street 1:2390 N ALMA SCHOOL RD STE 115
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-2418
Mailing Address - Country:US
Mailing Address - Phone:480-786-1555
Mailing Address - Fax:480-917-0518
Practice Address - Street 1:2390 N ALMA SCHOOL RD STE 115
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-2418
Practice Address - Country:US
Practice Address - Phone:480-786-1555
Practice Address - Fax:480-917-0518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3601111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty