1407097298 NPI number — DOUGLAS B.HUGHES, JR.

Table of content: (NPI 1407097298)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407097298 NPI number — DOUGLAS B.HUGHES, JR.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOUGLAS B.HUGHES, JR.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HUGHES CHIROPRACTIC CLINICS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407097298
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 931
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCK HILL
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29731-6931
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-327-3700
Provider Business Mailing Address Fax Number:
803-327-4273

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
332 E WHITE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCK HILL
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29730-5332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-327-3700
Provider Business Practice Location Address Fax Number:
803-327-4273
Provider Enumeration Date:
03/09/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HUGHES
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
BEASON
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
803-327-3700

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  801 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 111N00000X , with the licence number: 3015 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111N00000X , with the licence number: 3147 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1376789891 . This is a "NPI- DR. BRIAN D. HUGHES" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 1518975465 . This is a "NPI- DR. DOUGLAS B. HUGHES JR." identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 1487891974 . This is a "NPI- DR. IVA BATTRELL HUGHES" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".




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