Healthcare Provider Details

I. General information

NPI: 1609463355
Provider Name (Legal Business Name): LAURA HOBLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2020
Last Update Date: 12/29/2020
Certification Date: 12/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 URBAN AVE
SIDNEY OH
45365-2557
US

IV. Provider business mailing address

201 E SPRING ST
NEW KNOXVILLE OH
45871-9700
US

V. Phone/Fax

Practice location:
  • Phone: 937-497-8507
  • Fax:
Mailing address:
  • Phone: 419-305-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: