Provider Demographics
NPI:1902981236
Name:SKOPP, MARTIN J (DC)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:J
Last Name:SKOPP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 BELLE VIEW BLVD
Mailing Address - Street 2:SUITE A1
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22307-6723
Mailing Address - Country:US
Mailing Address - Phone:703-721-9600
Mailing Address - Fax:703-768-3290
Practice Address - Street 1:1701 BELLE VIEW BLVD
Practice Address - Street 2:SUITE A1
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22307-6723
Practice Address - Country:US
Practice Address - Phone:703-721-9600
Practice Address - Fax:703-768-3290
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001086111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
224192OtherBCBS
224192OtherBCBS