Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | PH002486 | MI |
NPI | 1508860081 |
---|---|
Provider Name | Dr. Paul Michael Hopkins |
First Address | Lansing, MI 48910-4769 |
Second Address | Lansing, MI 48910-4769 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 24/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14 | (05) | MI |
T32876 | (02) | MI |