Provider Demographics
NPI:1942802731
Name:HUGHES, CHRISTOPHER SHAWN
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:SHAWN
Last Name:HUGHES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 HARLAN DR.
Mailing Address - Street 2:
Mailing Address - City:WALBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43465
Mailing Address - Country:US
Mailing Address - Phone:419-340-0798
Mailing Address - Fax:
Practice Address - Street 1:139 HARLAN DR.
Practice Address - Street 2:
Practice Address - City:WALBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43465
Practice Address - Country:US
Practice Address - Phone:419-340-0798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)