Provider Demographics
NPI:1184631400
Name:HUGHES, ANDREW OLIVER (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:OLIVER
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 1:177 RIVERVIEW DR
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-3419
Mailing Address - Country:US
Mailing Address - Phone:434-791-2225
Mailing Address - Fax:434-799-1696
Practice Address - Street 1:177 RIVERVIEW DR
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-3419
Practice Address - Country:US
Practice Address - Phone:434-791-2225
Practice Address - Fax:434-799-1696
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001438111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA281914OtherANTHEM