Provider Demographics
NPI:1740412485
Name:HUTCHISON, BOBBIE D (DC)
Entity Type:Individual
Prefix:DR
First Name:BOBBIE
Middle Name:D
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W MAIN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-8021
Mailing Address - Country:US
Mailing Address - Phone:972-908-3322
Mailing Address - Fax:
Practice Address - Street 1:515 W MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-8021
Practice Address - Country:US
Practice Address - Phone:972-908-3322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor