Provider Demographics
NPI:1487396917
Name:ELLIOTT, DONNA RENE HOPKINS (DC)
Entity type:Individual
Prefix:DR
First Name:DONNA RENE
Middle Name:HOPKINS
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DONNA
Other - Middle Name:RENE
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1026 W COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-4391
Mailing Address - Country:US
Mailing Address - Phone:719-491-2242
Mailing Address - Fax:
Practice Address - Street 1:1026 W COLORADO AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-4391
Practice Address - Country:US
Practice Address - Phone:719-491-2242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO007809111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor