Healthcare Provider Details

I. General information

NPI: 1770664062
Provider Name (Legal Business Name): JAMES E HULL CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 HAL GREER BLVD
HUNTINGTON WV
25701-3800
US

IV. Provider business mailing address

PO BOX 714960
COLUMBUS OH
43271-4960
US

V. Phone/Fax

Practice location:
  • Phone: 205-322-1808
  • Fax: 205-322-1851
Mailing address:
  • Phone: 205-322-1808
  • Fax: 205-322-1851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number56859
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: