Healthcare Provider Details

I. General information

NPI: 1750504288
Provider Name (Legal Business Name): WINFIELD S HOBBS, DC, PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5029 ROOSEVELT WAY NE #102
SEATTLE WA
98105-3600
US

IV. Provider business mailing address

5029 ROOSEVELT WAY NE #102
SEATTLE WA
98105-3600
US

V. Phone/Fax

Practice location:
  • Phone: 206-547-4427
  • Fax: 206-547-3587
Mailing address:
  • Phone: 206-547-4427
  • Fax: 206-547-3587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCH00002366
License Number StateWA

VIII. Authorized Official

Name: DR. WINFIELD SCOTT HOBBS
Title or Position: OWNER
Credential: DC, FACO
Phone: 206-547-4427