Healthcare Provider Details

I. General information

NPI: 1710939509
Provider Name (Legal Business Name): HAROLD O. HULL AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 10/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 MCCANDLESS DR
MIDLAND MI
48640-6115
US

IV. Provider business mailing address

2520 MCCANDLESS DR
MIDLAND MI
48640-6115
US

V. Phone/Fax

Practice location:
  • Phone: 989-839-6201
  • Fax: 989-839-6202
Mailing address:
  • Phone: 989-839-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1601000045
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: