Healthcare Provider Details

I. General information

NPI: 1255731345
Provider Name (Legal Business Name): MICHELLE HOBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12071 TOWNSHIP ROAD 172
FINDLAY OH
45840-8904
US

IV. Provider business mailing address

12071 TOWNSHIP ROAD 172
FINDLAY OH
45840-8904
US

V. Phone/Fax

Practice location:
  • Phone: 419-957-9072
  • Fax:
Mailing address:
  • Phone: 419-957-9072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number400806190908
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: