Provider Demographics
NPI:1982094496
Name:HOBSON, CAROLYN J (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:J
Last Name:HOBSON
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 1:225 W HOSPITALITY LN
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3237
Mailing Address - Country:US
Mailing Address - Phone:909-890-3699
Mailing Address - Fax:909-890-4395
Practice Address - Street 1:225 W HOSPITALITY LN
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3237
Practice Address - Country:US
Practice Address - Phone:909-890-3699
Practice Address - Fax:909-890-4395
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14048111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor