Provider Demographics
NPI:1871618959
Name:HUGHES, JILL A (DC)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:A
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 1:22 HILL RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1322
Mailing Address - Country:US
Mailing Address - Phone:631-821-6026
Mailing Address - Fax:
Practice Address - Street 1:22 HILL RD
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-1322
Practice Address - Country:US
Practice Address - Phone:631-821-6026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005772-1111N00000X
MACH 1364111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor