Provider Demographics
NPI:1164498283
Name:HOBBS, RICHARD F III (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:F
Last Name:HOBBS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 SILVER ST
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-5923
Mailing Address - Country:US
Mailing Address - Phone:207-873-3900
Mailing Address - Fax:207-873-4900
Practice Address - Street 1:121 SILVER ST
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-5923
Practice Address - Country:US
Practice Address - Phone:207-873-3900
Practice Address - Fax:207-873-4900
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME008967207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME3155790099Medicaid
ME080160788Medicare PIN
ME3155790099Medicaid
ME056023Medicare PIN