Provider Demographics
NPI:1184847220
Name:HULL, MICHAEL A
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:A
Last Name:HULL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 ROWENA DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-2038
Mailing Address - Country:US
Mailing Address - Phone:814-471-1911
Mailing Address - Fax:
Practice Address - Street 1:720 ROWENA DR
Practice Address - Street 2:SUITE 201
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-2038
Practice Address - Country:US
Practice Address - Phone:814-471-1911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFO 3159332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment