Provider Demographics
NPI:1194996082
Name:HOPKINS, JEFF D (OTR/L)
Entity type:Individual
Prefix:
First Name:JEFF
Middle Name:D
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21501-0202
Mailing Address - Country:US
Mailing Address - Phone:301-722-5890
Mailing Address - Fax:301-722-5892
Practice Address - Street 1:549 N CENTRE ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2125
Practice Address - Country:US
Practice Address - Phone:301-722-5890
Practice Address - Fax:301-722-5892
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV184174400000X
MD1663174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist