Provider Demographics
NPI:1659663797
Name:HUGHES FAMILY CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:HUGHES FAMILY CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATY
Authorized Official - Middle Name:MECHELLE
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-609-1333
Mailing Address - Street 1:40 BROOKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-9202
Mailing Address - Country:US
Mailing Address - Phone:717-609-1333
Mailing Address - Fax:877-440-0030
Practice Address - Street 1:40 BROOKWOOD AVE
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-9202
Practice Address - Country:US
Practice Address - Phone:717-609-1333
Practice Address - Fax:877-440-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-09
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty