Provider Demographics
NPI:1083663827
Name:GUGEL, HUGH A (DC)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:A
Last Name:GUGEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-2226
Mailing Address - Country:US
Mailing Address - Phone:812-738-1112
Mailing Address - Fax:812-738-1999
Practice Address - Street 1:1265 HILLVIEW DR
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-2226
Practice Address - Country:US
Practice Address - Phone:812-738-1112
Practice Address - Fax:812-738-1999
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001058A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000226065OtherANTHEM
KY000000226065OtherANTHEM
IN000000226065OtherANTHEM
IN193360Medicare ID - Type Unspecified