Provider Demographics
NPI:1164524260
Name:HUGHES, AARON THOMAS (DC)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:THOMAS
Last Name:HUGHES
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:PO BOX 1180
Mailing Address - Street 2:601 FOURTH STREET
Mailing Address - City:SAN JUAN BAUTISTA
Mailing Address - State:CA
Mailing Address - Zip Code:95045-1180
Mailing Address - Country:US
Mailing Address - Phone:831-623-4998
Mailing Address - Fax:
Practice Address - Street 1:601 FOURTH STREET
Practice Address - Street 2:
Practice Address - City:SAN JUAN BAUTISTA
Practice Address - State:CA
Practice Address - Zip Code:95045-1180
Practice Address - Country:US
Practice Address - Phone:831-623-4998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20631111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU25215Medicare UPIN
CADC0206310Medicare ID - Type Unspecified