Provider Demographics
NPI:1093314387
Name:HUGHES, BRANDON DALE (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:DALE
Last Name:HUGHES
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 1:120 OLD CAMDEN RD STE C
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:DE
Mailing Address - Zip Code:19934-5501
Mailing Address - Country:US
Mailing Address - Phone:302-531-1900
Mailing Address - Fax:
Practice Address - Street 1:120 OLD CAMDEN RD STE C
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-5501
Practice Address - Country:US
Practice Address - Phone:302-531-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0011032111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor