Healthcare Provider Details

I. General information

NPI: 1740341189
Provider Name (Legal Business Name): ELEANORE R HOBBS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 10/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 6TH AVE. SW ST. LUKE COMMUNITY CLINCI RONAN
RONAN MT
59864
US

IV. Provider business mailing address

126 6TH AVE SW
RONAN MT
59864-2600
US

V. Phone/Fax

Practice location:
  • Phone: 406-676-4441
  • Fax: 406-676-0835
Mailing address:
  • Phone: 406-676-4441
  • Fax: 406-676-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number8731
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number214892-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: