Provider Demographics
NPI:1427054121
Name:HOBBS, KEITH C (DC)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:C
Last Name:HOBBS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 S DORT HWY
Mailing Address - Street 2:STE L
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2800
Mailing Address - Country:US
Mailing Address - Phone:810-234-3351
Mailing Address - Fax:810-234-9204
Practice Address - Street 1:915 S DORT HWY
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2800
Practice Address - Country:US
Practice Address - Phone:810-234-3351
Practice Address - Fax:810-234-9204
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIKH004818111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP32550FOtherBCN PROVIDER
MI1572736Medicaid
MI950B514750OtherBLUE CROSS BLUE SHIELD
MIXX11453OtherHEALTH PLUS PROVIDER
MIP32550FOtherBCN PROVIDER
MIOB55121Medicare ID - Type Unspecified