Provider Demographics
NPI:1790799187
Name:HUGHES, JANET ELAINE (DC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ELAINE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7343 WILTON AVE
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-3716
Mailing Address - Country:US
Mailing Address - Phone:707-829-1103
Mailing Address - Fax:707-861-3395
Practice Address - Street 1:7343 WILTON AVE
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-3716
Practice Address - Country:US
Practice Address - Phone:707-829-1103
Practice Address - Fax:707-861-3395
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0138020OtherBLUE SHIELD
CADC0138020Medicare ID - Type Unspecified