Provider Demographics
NPI:1316349277
Name:SEAN J. HOBAN, M.D., PLC
Entity type:Organization
Organization Name:SEAN J. HOBAN, M.D., PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:VANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-624-4700
Mailing Address - Street 1:11831 MAPLE RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BIRCH RUN
Mailing Address - State:MI
Mailing Address - Zip Code:48415-8487
Mailing Address - Country:US
Mailing Address - Phone:989-624-4700
Mailing Address - Fax:989-624-4701
Practice Address - Street 1:11831 MAPLE RD
Practice Address - Street 2:SUITE 8
Practice Address - City:BIRCH RUN
Practice Address - State:MI
Practice Address - Zip Code:48415-8487
Practice Address - Country:US
Practice Address - Phone:989-624-4700
Practice Address - Fax:989-624-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty