NPI | 1528153376 |
---|---|
Other Name | CHIP POPE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: 0871704029) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-08 |