1013936632 NPI number — DR. ALLAN D HUGHES D.C.

Table of content: DR. ALLAN D HUGHES D.C. (NPI 1013936632)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013936632 NPI number — DR. ALLAN D HUGHES D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUGHES
Provider First Name:
ALLAN
Provider Middle Name:
D
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1013936632
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/05/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22 WEST ST
Provider Second Line Business Mailing Address:
SUITE 4
Provider Business Mailing Address City Name:
MILLBURY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01527-2622
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-865-2802
Provider Business Mailing Address Fax Number:
508-865-0201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22 WEST ST
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
MILLBURY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01527-2622
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-865-2802
Provider Business Practice Location Address Fax Number:
508-865-0201
Provider Enumeration Date:
07/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1458 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 111N00000X , with the licence number: A5419 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 2624833 . This is a "CIGNA INDIVIDUAL #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 352481 . This is a "HARVARD PILGRIM INDIVIDUA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: P00184000 . This is a "GBA RAILR MEDICARE DC6871" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1613081 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: Y36099 . This is a "BCBS OF MA INDIVIDUAL #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 44-01310 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 467335 . This is a "TUFTS INDIVIDUAL #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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