Healthcare Provider Details

I. General information

NPI: 1861739849
Provider Name (Legal Business Name): JANEEN JESSE HULBERT D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2013
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 BILTMORE AVE
ASHEVILLE NC
28803-2556
US

IV. Provider business mailing address

74 FURMAN AVE APT # 2
ASHEVILLE NC
28801-2077
US

V. Phone/Fax

Practice location:
  • Phone: 828-585-5377
  • Fax:
Mailing address:
  • Phone: 518-420-7588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4337
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number4337
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: