Provider Demographics
NPI:1881892016
Name:HOBBS SPECIFIC CHIROPRACTIC
Entity type:Organization
Organization Name:HOBBS SPECIFIC CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-729-2122
Mailing Address - Street 1:5812 N WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3170
Mailing Address - Country:US
Mailing Address - Phone:734-729-2122
Mailing Address - Fax:734-729-3980
Practice Address - Street 1:5812 N WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-3170
Practice Address - Country:US
Practice Address - Phone:734-729-2122
Practice Address - Fax:734-729-3980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MINC010442OtherMCARE
MIU85092Medicare UPIN
MI0N96410Medicare PIN