Provider Demographics
NPI:1780100206
Name:HUGHSON CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:HUGHSON CHIROPRACTIC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:CURATOLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:209-883-0415
Mailing Address - Street 1:PO BOX 1455 7218 HUGHSON AVE.
Mailing Address - Street 2:
Mailing Address - City:HUGHSON
Mailing Address - State:CA
Mailing Address - Zip Code:95326
Mailing Address - Country:US
Mailing Address - Phone:209-883-0415
Mailing Address - Fax:209-882-9050
Practice Address - Street 1:7218 HUGHSON AVE.
Practice Address - Street 2:
Practice Address - City:HUGHSON
Practice Address - State:CA
Practice Address - Zip Code:95326
Practice Address - Country:US
Practice Address - Phone:209-883-0415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUGHSON CHIROPRACTIC, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-16
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty