Provider Demographics
NPI:1174647101
Name:HOBBS, THOMAS GRANT (DC MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GRANT
Last Name:HOBBS
Suffix:
Gender:M
Credentials:DC MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:16 MUNICIPAL DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-1043
Mailing Address - Country:US
Mailing Address - Phone:636-296-1093
Mailing Address - Fax:636-296-5955
Practice Address - Street 1:16 MUNICIPAL DR
Practice Address - Street 2:SUITE E
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-1043
Practice Address - Country:US
Practice Address - Phone:636-296-1093
Practice Address - Fax:636-296-5955
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO004790111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO527548OtherHEALTHLINK
MO609451OtherUNITED HEALTHCARE PIN
MO00001686492OtherGREAT WEST PIN
MO98368OtherGROUP HEALTH PLAN PIN
MO431468712KOtherCIGNA PIN
MO4790OtherCENTRAL STATES PIN
MO7956OtherBLUE CROSS PIN
MO527548OtherHEALTHLINK
MO7956OtherBLUE CROSS PIN