Provider Demographics
NPI:1730381021
Name:M. HOPE PA
Entity type:Organization
Organization Name:M. HOPE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HOPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-474-9393
Mailing Address - Street 1:21450 HIGHWAY 7
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-7205
Mailing Address - Country:US
Mailing Address - Phone:952-474-9393
Mailing Address - Fax:952-474-2375
Practice Address - Street 1:21450 HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-7205
Practice Address - Country:US
Practice Address - Phone:952-474-9393
Practice Address - Fax:952-474-2375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3921111N00000X
MN4939111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC03765Medicare PIN