Provider Demographics
NPI:1154821064
Name:THOMAS E HUGHES, DC, PA
Entity Type:Organization
Organization Name:THOMAS E HUGHES, DC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-341-1234
Mailing Address - Street 1:PO BOX 48393
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33743-8393
Mailing Address - Country:US
Mailing Address - Phone:727-341-1234
Mailing Address - Fax:727-384-6158
Practice Address - Street 1:1228 66TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-6226
Practice Address - Country:US
Practice Address - Phone:727-341-1234
Practice Address - Fax:727-384-6158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8105111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL648476OtherUNITED HEALTH CARE
FLCH8105OtherLICENSE NUMBER
FL89934OtherBCBS