Provider Demographics
NPI:1578610440
Name:HUGHES, JOSEPH PATRICK (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PATRICK
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 1:1719 FLEET ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-2917
Mailing Address - Country:US
Mailing Address - Phone:410-675-3332
Mailing Address - Fax:410-675-3903
Practice Address - Street 1:1719 FLEET ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-2917
Practice Address - Country:US
Practice Address - Phone:410-675-3332
Practice Address - Fax:410-675-3903
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01182111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM349Medicare ID - Type Unspecified
MDT77223Medicare UPIN