Healthcare Provider Details

I. General information

NPI: 1225004237
Provider Name (Legal Business Name): DONNA LOUISE HOBBS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4449 STATE ROUTE 159 POB 6179
CHILLICOTHEE OH
45601-8620
US

IV. Provider business mailing address

4449 STATE ROUTE 159 POB 6179
CHILLICOTHEE OH
45601-8620
US

V. Phone/Fax

Practice location:
  • Phone: 740-775-1260
  • Fax: 740-773-8322
Mailing address:
  • Phone: 740-775-1260
  • Fax: 740-773-8322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35-069214
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: