Deandre Lavelle Hughes
Individual provider Active NPI Driver · Bay City, MI
NPI 1669028569 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1669028569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- H220139488070 (MI)
- Practice address
- 706 Patterson Ave
Bay City, MI 48706-4194 - Phone
- (989) 400-2583
- Fax
- (989) 956-5914
- NPI assigned
- Aug 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H220139488070 | MI | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | H220139488070 | MI | Yes |
Addresses
Primary practice location
706 Patterson Ave
Bay City, MI 48706-4194
Mailing address
706 Patterson Ave
Bay City, MI 48706-4194
Phone (989) 400-2583
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.