Healthcare Provider Details

I. General information

NPI: 1245689066
Provider Name (Legal Business Name): AARON HOBBS H.A.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1534 S WASHINGTON ST
CRAWFORDSVILLE IN
47933-3813
US

IV. Provider business mailing address

PO BOX 10697
TERRE HAUTE IN
47801-0697
US

V. Phone/Fax

Practice location:
  • Phone: 765-323-3992
  • Fax:
Mailing address:
  • Phone: 765-323-3992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number17001307A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: