Healthcare Provider Details
I. General information
NPI: 1801102199
Provider Name (Legal Business Name): HUGHES ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2010
Last Update Date: 08/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
935 W WAYNE ST
PAULDING OH
45879-1547
US
IV. Provider business mailing address
935 W WAYNE ST
PAULDING OH
45879-1547
US
V. Phone/Fax
- Phone: 419-399-4931
- Fax: 419-399-5452
- Phone: 419-399-4931
- Fax: 419-399-5452
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
ROY
HUGHES
Title or Position: PRESIDENT
Credential: DC
Phone: 419-399-4931