Healthcare Provider Details

I. General information

NPI: 1992006753
Provider Name (Legal Business Name): CHRISTOPHER M HOBAN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2010
Last Update Date: 05/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7277 SMITHS MILL RD SUITE 200
NEW ALBANY OH
43054-8195
US

IV. Provider business mailing address

7277 SMITHS MILL RD SUITE 200
NEW ALBANY OH
43054-8195
US

V. Phone/Fax

Practice location:
  • Phone: 614-221-6331
  • Fax: 614-304-2100
Mailing address:
  • Phone: 614-221-6331
  • Fax: 614-304-2100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number50.003115
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: