1013100015 NPI number — MS. ANNA CHRISTINA HOPKINS M.S.P.T.

Table of content: MS. ANNA CHRISTINA HOPKINS M.S.P.T. (NPI 1013100015)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013100015 NPI number — MS. ANNA CHRISTINA HOPKINS M.S.P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOPKINS
Provider First Name:
ANNA
Provider Middle Name:
CHRISTINA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TRICHTINGER
Provider Other First Name:
ANNIE
Provider Other Middle Name:
CHRISTINA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S.P.T.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1013100015
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/25/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
118 PORTSMOUTH AVE
Provider Second Line Business Mailing Address:
STE B101
Provider Business Mailing Address City Name:
STRATHAM
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03885-4434
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-580-4494
Provider Business Mailing Address Fax Number:
603-580-4495

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
118 PORTSMOUTH AVE
Provider Second Line Business Practice Location Address:
STE B101
Provider Business Practice Location Address City Name:
STRATHAM
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03885-4434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-580-4494
Provider Business Practice Location Address Fax Number:
603-580-4495
Provider Enumeration Date:
08/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  5281 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: 4227 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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