Healthcare Provider Details

I. General information

NPI: 1417272618
Provider Name (Legal Business Name): TIMOTHY SCOTT HULSEY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 09/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

293 TORREY PINE LN
BAKERSFIELD CA
93308-4653
US

IV. Provider business mailing address

293 TORREY PINE LN
BAKERSFIELD CA
93308-4653
US

V. Phone/Fax

Practice location:
  • Phone: 661-364-1746
  • Fax:
Mailing address:
  • Phone: 661-364-1746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC31614
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: