Healthcare Provider Details
I. General information
NPI: 1760668289
Provider Name (Legal Business Name): HULS CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/15/2008
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
156 KRUGER ST SUITE B
WHEELING WV
26003-5160
US
IV. Provider business mailing address
156 KRUGER ST SUITE B
WHEELING WV
26003-5160
US
V. Phone/Fax
- Phone: 304-242-0199
- Fax: 304-242-2252
- Phone: 304-242-0199
- Fax: 304-242-2252
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 422 |
| License Number State | WV |
VIII. Authorized Official
Name: DR.
TERESA
HULS
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 304-242-0199