Provider Demographics
NPI:1295782837
Name:HUGHEY CHIROPRACTIC CLINIC PC
Entity type:Organization
Organization Name:HUGHEY CHIROPRACTIC CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:HUGHEY
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:734-326-9399
Mailing Address - Street 1:6095 N WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-7128
Mailing Address - Country:US
Mailing Address - Phone:734-326-9399
Mailing Address - Fax:734-326-9867
Practice Address - Street 1:6095 N WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-7128
Practice Address - Country:US
Practice Address - Phone:734-326-9399
Practice Address - Fax:734-326-9867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIBH006872111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI350055616OtherRAILROAD MEDICARE
MIOM42530OtherMEDICARE ID