Provider Demographics
NPI:1487916847
Name:HUTCHINS, PAUL M (DC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:M
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17 GLEN POND DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1840
Mailing Address - Country:US
Mailing Address - Phone:845-758-5507
Mailing Address - Fax:845-758-5511
Practice Address - Street 1:17 GLEN POND DR
Practice Address - Street 2:SUITE 4
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1840
Practice Address - Country:US
Practice Address - Phone:845-758-5507
Practice Address - Fax:845-758-5511
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY011239111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor