Hobbs, Harlen Duane

Hobbs, Harlen Duane is an individual health care provider with primary practice located at 18 S Spring St , Sparta TN 38583-1825. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hobbs, Harlen Duane can be contacted via phone (931) 836-2416.

Contact Information

Primary practice address
18 S Spring St Sparta TN 38583-1825
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS7654 Tennessee
Dental Providers / General Practice 1223G0001X D4094 Idaho
Dental Providers / General Practice 1223G0001X DE00011165 Washington
Dental Providers / General Practice 1223G0001X DD3249 New Mexico

Profile Details

NPI number 1013908193
LBN Legal business name Hobbs, Harlen Duane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2005
Last updated May 17th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013908193 NPPES
Idaho MEDICAID 806590100
Idaho MEDICAID Q020510

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