Basic Information
| Provider Information | |||||||||
| NPI: | 1003147331 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUGHES | ||||||||
| FirstName: | EVAN | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1740 MASSACHUSETTS AVE | ||||||||
| Address2: | SUITE 6 | ||||||||
| City: | BOXBOROUGH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9782879546 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1740 MASSACHUSETTS AVE | ||||||||
| Address2: | |||||||||
| City: | BOXBOROUGH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9782879546 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2010 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 2895 | MA | Y | Chiropractic Providers | Chiropractor |
No ID Information.