Provider Demographics
NPI:1417900440
Name:HURST, HUGH WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:WILLIAM
Last Name:HURST
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 1:121 W COUNCIL ST
Mailing Address - Street 2:STE. 306
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4357
Mailing Address - Country:US
Mailing Address - Phone:704-636-7528
Mailing Address - Fax:704-636-6070
Practice Address - Street 1:121 W COUNCIL ST
Practice Address - Street 2:STE. 306
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4357
Practice Address - Country:US
Practice Address - Phone:704-636-7528
Practice Address - Fax:704-636-6070
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC 1626111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0845BOtherBLUE CROSS BLUE SHIELD
NC890845BMedicaid
NCP00205693OtherPALMETTO GBA
NC890845BMedicaid
NC244545Medicare ID - Type Unspecified