Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 01036920A | IN |
Y | 111NI0900X | Internist | 01036920A | IN |
N | 207RG0300X | Geriatric Medicine | 01036920A | IN |
NPI | 1093778821 |
---|---|
Provider Name | Frank S Hopkins |
First Address | Jasper, IN 47547-1028 |
Second Address | Jasper, IN 47546-2609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 01/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000537922 | ANTHEM PIN (01) | IN |
100338300 | (05) | IN |
200859330C | MEDICAID GROUP (01) | IN |
250470 | MEDICARE GROUP (01) | IN |
C48614 | (02) |