Provider Demographics
NPI:1154395812
Name:HOBLER, CHRISTOPHER KIRTLAND (RSA-O, OPA-C, ATC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:KIRTLAND
Last Name:HOBLER
Suffix:
Gender:M
Credentials:RSA-O, OPA-C, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1295 STATE ROUTE 13
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-7252
Mailing Address - Country:US
Mailing Address - Phone:607-272-7000
Mailing Address - Fax:607-272-4604
Practice Address - Street 1:1301 TRUMANSBURG RD
Practice Address - Street 2:SUITE R
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1397
Practice Address - Country:US
Practice Address - Phone:607-272-7000
Practice Address - Fax:607-272-4604
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000058-012255A2300X
NY0000171174400000X
NY00000171246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant