Provider Demographics
NPI:1144236191
Name:HU, HANK (DC)
Entity Type:Individual
Prefix:
First Name:HANK
Middle Name:
Last Name:HU
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 1:21801 STEVENS CREEK BLVD
Mailing Address - Street 2:4A
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-1155
Mailing Address - Country:US
Mailing Address - Phone:408-730-1468
Mailing Address - Fax:
Practice Address - Street 1:21801 STEVENS CREEK BLVD
Practice Address - Street 2:4A
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-1155
Practice Address - Country:US
Practice Address - Phone:408-730-1468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0253400Medicare ID - Type Unspecified