Provider Demographics
NPI:1841784766
Name:HOBAICA, MELISSA (DC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:HOBAICA
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 1:2275 N GREEN VALLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-5025
Mailing Address - Country:US
Mailing Address - Phone:702-435-0808
Mailing Address - Fax:702-435-0818
Practice Address - Street 1:2275 N GREEN VALLEY PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-5025
Practice Address - Country:US
Practice Address - Phone:702-435-0808
Practice Address - Fax:702-435-0818
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01785111N00000X
VA0104557497111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0104557497OtherSTATE LICENSE
NVB01785OtherSTATE LISENCE