Individual
DR. GARY LEE HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5800 FAIRFIELD AVE, SUITE 112, FORT WAYNE, IN 46807-3400
(260) 456-4074
(260) 456-4074
Mailing address
5800 FAIRFIELD AVE, SUITE 112, FORT WAYNE, IN 46807-3400
(260) 456-4074
(260) 456-4074
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001115A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100332590A
—
IN
Enumeration date
04/14/2006
Last updated
05/21/2008
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