Provider Demographics
NPI:1326127747
Name:HUTCHINGS, DONOVAN K (DC)
Entity Type:Individual
Prefix:DR
First Name:DONOVAN
Middle Name:K
Last Name:HUTCHINGS
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 1:1725 E CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-1440
Mailing Address - Country:US
Mailing Address - Phone:530-221-4991
Mailing Address - Fax:
Practice Address - Street 1:1725 E CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1440
Practice Address - Country:US
Practice Address - Phone:530-221-4991
Practice Address - Fax:530-221-5162
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294460111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV01802Medicare UPIN
CADC0294460Medicare PIN