Healthcare Provider Details

I. General information

NPI: 1487726717
Provider Name (Legal Business Name): ROBERT LEE HULBERT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8343 FOLSOM BLVD SUITE 100
SACRAMENTO CA
95826
US

IV. Provider business mailing address

8343 FOLSOM BLVD SUITE 100
SACRAMENTO CA
95826
US

V. Phone/Fax

Practice location:
  • Phone: 916-387-1007
  • Fax: 916-387-9843
Mailing address:
  • Phone: 916-387-1007
  • Fax: 916-387-9843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number19160
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: