Basic Information
| Provider Information | |||||||||
| NPI: | 1629204557 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOOPMAN | ||||||||
| FirstName: | ELOI | ||||||||
| MiddleName: | J. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 670 9TH ST | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | ARCATA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 955216248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7078268633 | ||||||||
| FaxNumber: | 7078268638 | ||||||||
| Practice Location | |||||||||
| Address1: | 785 18TH ST | ||||||||
| Address2: | NORTH COUNTRY CLINIC | ||||||||
| City: | ARCATA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 955215683 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7078222481 | ||||||||
| FaxNumber: | 7078223656 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2009 | ||||||||
| LastUpdateDate: | 01/11/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OP 60070418 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207VX0000X | 20A11232 | CA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Obstetrics | 207Q00000X | 20A11232 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.