MEDICARE: DR. CHRISTOPHER MARK HULTS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	22675	NH
2	208600000X	Surgery Physician	MC-2320	ID
3	208600000X	Surgery Physician	MD60692832	WA
4	208600000X	Surgery Physician	036114071	IL
5	208600000X	Surgery Physician	37301	SC
6	208600000X	Surgery Physician	DR-46467	CO
7	208600000X	Surgery Physician	107039	FL
8	208600000X	Surgery Physician	15140R	LA
9	2086S0127X	Trauma Surgery Physician	37301	SC
10	2086S0127X	Trauma Surgery Physician	MD60692832	WA
11	2086S0102X	Surgical Critical Care Physician	MD60692832	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760477533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER MARK HULTS M.D.

Provider Business Mailing Address
First Line	:	5626 125TH ST SW
Second Line	:
City	:	MUKILTEO
State	:	WA
Zip	:	98275-5545
Country	:	US
Telephone Number	:	904-624-9055
Fax Number	:

Provider Business Practice Location Address
First Line	:	5626 125TH ST SW
Second Line	:
City	:	MUKILTEO
State	:	WA
Zip	:	98275-5545
Country	:	US
Telephone Number	:	904-624-9055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	02/18/2025

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