Healthcare Provider Details

I. General information

NPI: 1821132481
Provider Name (Legal Business Name): JAMES E HULT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 09/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N 5TH AVE # 101
SEQUIM WA
98382-3045
US

IV. Provider business mailing address

522 N 5TH AVE
SEQUIM WA
98382-3079
US

V. Phone/Fax

Practice location:
  • Phone: 360-582-2690
  • Fax:
Mailing address:
  • Phone: 360-775-3515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberG29267
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: