Provider Demographics
NPI:1508984543
Name:HUGHES, DAVID ROY (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ROY
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 1:935 W WAYNE ST
Mailing Address - Street 2:
Mailing Address - City:PAULDING
Mailing Address - State:OH
Mailing Address - Zip Code:45879-1547
Mailing Address - Country:US
Mailing Address - Phone:419-399-4931
Mailing Address - Fax:419-399-5452
Practice Address - Street 1:935 W WAYNE ST
Practice Address - Street 2:
Practice Address - City:PAULDING
Practice Address - State:OH
Practice Address - Zip Code:45879-1547
Practice Address - Country:US
Practice Address - Phone:419-399-4931
Practice Address - Fax:419-399-5452
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH23111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000130581OtherANTHEM - BCBS
OH3501758759OtherRAILROAD MEDICARE
OH4153099Medicaid
OH341337419-00OtherBUREAU WORKERS COMP
OH000000130581OtherANTHEM - BCBS
OHHU0387521Medicare ID - Type Unspecified