Provider Demographics
NPI:1124182688
Name:HUGHES, CAREY MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:CAREY
Middle Name:MICHAEL
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 1:3603 WEST TAPPS DR. E.
Mailing Address - Street 2:
Mailing Address - City:LAKE TAPPS
Mailing Address - State:WA
Mailing Address - Zip Code:98391
Mailing Address - Country:US
Mailing Address - Phone:253-230-0881
Mailing Address - Fax:
Practice Address - Street 1:13210 SE 240TH ST
Practice Address - Street 2:SUITE A-4
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98042-5182
Practice Address - Country:US
Practice Address - Phone:253-631-1118
Practice Address - Fax:253-631-1156
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA91-2105628OtherFEDERAL TAX ID NO.
WA0080675OtherWA L&I PROVIDER NO.
WA91-2105628OtherFEDERAL TAX ID NO.
WA000167001Medicare PIN