Healthcare Provider Details

I. General information

NPI: 1427054121
Provider Name (Legal Business Name): KEITH C HOBBS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 S DORT HWY
FLINT MI
48503-2800
US

IV. Provider business mailing address

915 S DORT HWY STE L
FLINT MI
48503-2800
US

V. Phone/Fax

Practice location:
  • Phone: 810-234-3351
  • Fax: 810-234-9204
Mailing address:
  • Phone: 810-234-3351
  • Fax: 810-234-9204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberKH004818
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: