Healthcare Provider Details

I. General information

NPI: 1831306943
Provider Name (Legal Business Name): MICHAEL N HUGHES D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 E STUART ST BLDG. 4 SUITE 104
FORT COLLINS CO
80525-1195
US

IV. Provider business mailing address

612 E PITKIN ST
FORT COLLINS CO
80524-3818
US

V. Phone/Fax

Practice location:
  • Phone: 970-221-9451
  • Fax:
Mailing address:
  • Phone: 970-232-9688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number6034
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number6034
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code111NT0100X
TaxonomyThermography Chiropractor
License Number6034
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: