1073122206 NPI number — MR. DAVID MICHAEL HOPKINS IDC, EMT

Table of content: MR. DAVID MICHAEL HOPKINS IDC, EMT (NPI 1073122206)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073122206 NPI number — MR. DAVID MICHAEL HOPKINS IDC, EMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOPKINS
Provider First Name:
DAVID
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
IDC, EMT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073122206
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MWSS-172
Provider Second Line Business Mailing Address:
UPR 37206 BOX 664
Provider Business Mailing Address City Name:
FPO
Provider Business Mailing Address State Name:
AP
Provider Business Mailing Address Postal Code:
96371-0606
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-645-2978
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MWSS-172
Provider Second Line Business Practice Location Address:
UPR 37206 BOX 664
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96371-0606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-645-2978
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2020

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: 1710I1002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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