Healthcare Provider Details
I. General information
NPI: 1588482970
Provider Name (Legal Business Name): SHELBI HUGHES DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/02/2024
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3478 MAIN ST
OAKLEY CA
94561-3137
US
IV. Provider business mailing address
PO BOX 404
BYRON CA
94514-0404
US
V. Phone/Fax
- Phone: 925-625-1881
- Fax:
- Phone: 925-325-4589
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 37089 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: