Healthcare Provider Details

I. General information

NPI: 1881892016
Provider Name (Legal Business Name): HOBBS SPECIFIC CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5812 N WAYNE RD
WESTLAND MI
48185-3170
US

IV. Provider business mailing address

5812 N WAYNE RD
WESTLAND MI
48185-3170
US

V. Phone/Fax

Practice location:
  • Phone: 734-729-2122
  • Fax: 734-729-3980
Mailing address:
  • Phone: 734-729-2122
  • Fax: 734-729-3980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: BARRY HOBBS
Title or Position: CHIROPRACTOR
Credential:
Phone: 734-729-2122