Healthcare Provider Details

I. General information

NPI: 1780100206
Provider Name (Legal Business Name): HUGHSON CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7218 HUGHSON AVE.
HUGHSON CA
95326
US

IV. Provider business mailing address

PO BOX 1455 7218 HUGHSON AVE.
HUGHSON CA
95326
US

V. Phone/Fax

Practice location:
  • Phone: 209-883-0415
  • Fax:
Mailing address:
  • Phone: 209-883-0415
  • Fax: 209-882-9050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number17357
License Number StateCA

VIII. Authorized Official

Name: MR. JAMES EUGENE CURATOLO
Title or Position: PRESIDENT/OWNER
Credential: D.C.
Phone: 209-883-0415