Provider Demographics
NPI:1811319825
Name:HAMBY, BOBBY (DC)
Entity type:Individual
Prefix:DR
First Name:BOBBY
Middle Name:
Last Name:HAMBY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 NW 63RD ST STE 102
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1548
Mailing Address - Country:US
Mailing Address - Phone:405-286-6565
Mailing Address - Fax:
Practice Address - Street 1:4301 NW 63RD ST STE 102
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1548
Practice Address - Country:US
Practice Address - Phone:405-286-6565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-09
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4131111NN1001X
CA20210111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition