Healthcare Provider Details

I. General information

NPI: 1013936632
Provider Name (Legal Business Name): ALLAN D HUGHES D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 WEST ST SUITE 4
MILLBURY MA
01527-2622
US

IV. Provider business mailing address

22 WEST ST SUITE 4
MILLBURY MA
01527-2622
US

V. Phone/Fax

Practice location:
  • Phone: 508-865-2802
  • Fax: 508-865-0201
Mailing address:
  • Phone: 508-865-2802
  • Fax: 508-865-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1458
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberA5419
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: