Healthcare Provider Details

I. General information

NPI: 1598147472
Provider Name (Legal Business Name): HOBBSEY ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2015
Last Update Date: 06/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 N CANFIELD NILES RD STE 500
AUSTINTOWN OH
44515-2343
US

IV. Provider business mailing address

45 N CANFIELD NILES RD STE 500
AUSTINTOWN OH
44515
US

V. Phone/Fax

Practice location:
  • Phone: 330-953-3238
  • Fax: 330-953-3239
Mailing address:
  • Phone: 330-953-3238
  • Fax: 330-953-3239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34001465
License Number StateOH

VIII. Authorized Official

Name: EDWARD M HOBBS
Title or Position: OWNER/PHYSICIAN
Credential: D.O.
Phone: 330-953-3238