1801999198 NPI number — DR. CHRISTINE ANN HOPPE M.D.

Table of content: DR. CHRISTINE ANN HOPPE M.D. (NPI 1801999198)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801999198 NPI number — DR. CHRISTINE ANN HOPPE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOPPE
Provider First Name:
CHRISTINE
Provider Middle Name:
ANN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HENDERSON
Provider Other First Name:
CHRISTINE
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1801999198
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
360 PEAK ONE DRIVE
Provider Second Line Business Mailing Address:
SUITE 100 PO BOX 4337
Provider Business Mailing Address City Name:
FRISCO
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80443
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-668-4040
Provider Business Mailing Address Fax Number:
970-668-6699

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
360 PEAK ONE DR.
Provider Second Line Business Practice Location Address:
#100
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-668-4040
Provider Business Practice Location Address Fax Number:
970-668-6699
Provider Enumeration Date:
09/05/2006

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: 207Q00000X , with the licence number:  39789 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 99739852 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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