Provider Demographics
NPI:1306820162
Name:HOBBIE, CHRISTOPHER N (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:N
Last Name:HOBBIE
Suffix:
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 1:101 GREENFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-9152
Mailing Address - Country:US
Mailing Address - Phone:570-586-5629
Mailing Address - Fax:570-586-8206
Practice Address - Street 1:101 GREENFIELD DR
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-9152
Practice Address - Country:US
Practice Address - Phone:570-586-5629
Practice Address - Fax:570-586-8206
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD058608L2085R0202X
CT0539272085R0202X
MEMD204812085R0202X
FLME1239412085R0202X
NY2022922085R0202X
WV263572085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG19639Medicare UPIN