Provider Demographics
NPI:1154613529
Name:ALLAN D. HUGHES DC, P.C.
Entity type:Organization
Organization Name:ALLAN D. HUGHES DC, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-865-2802
Mailing Address - Street 1:121 MILLBURY AVE
Mailing Address - Street 2:
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-3341
Mailing Address - Country:US
Mailing Address - Phone:508-865-2802
Mailing Address - Fax:508-865-0201
Practice Address - Street 1:121 MILLBURY AVE
Practice Address - Street 2:
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-3341
Practice Address - Country:US
Practice Address - Phone:508-865-2802
Practice Address - Fax:508-865-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1458111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9749080Medicaid
MA9749080Medicaid