Terry Michael Hough, DC
Individual provider Active NPI Chiropractor · Greendale, WI
NPI 1689720583 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689720583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1811012 (WI)
- Practice address
- 5800 Broad St
Greendale, WI 53129 - Phone
- (414) 282-2929
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1811012 | WI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1811012 | WI | Yes |
Addresses
Primary practice location
5800 Broad St
Greendale, WI 53129
Mailing address
5800 Broad St
Greendale, WI 53129
Phone (414) 282-2929
Other providers in Greendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.