=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942499579
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KULMAN CHIROPRACTIC CENTER P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2007
-----------------------------------------------------
Last Update Date | 01/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2503 CHARLEVOIX RD
-----------------------------------------------------
City | PETOSKEY
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49770-8523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-347-3946
-----------------------------------------------------
Fax | 231-349-1587
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2503 CHARLEVOIX RD
-----------------------------------------------------
City | PETOSKEY
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49770-8523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-347-3946
-----------------------------------------------------
Fax | 231-349-1587
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. DANIEL M KULMAN
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 231-347-3946
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | DK007060
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------