Provider Demographics
NPI:1275573750
Name:HULSEY, MATTHEW D (DO)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:D
Last Name:HULSEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 AIRPORT RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7951
Mailing Address - Country:US
Mailing Address - Phone:501-625-7500
Mailing Address - Fax:501-625-7777
Practice Address - Street 1:248 HIGHWAY 70 E
Practice Address - Street 2:SUITE A
Practice Address - City:GLENWOOD
Practice Address - State:AR
Practice Address - Zip Code:71943-8801
Practice Address - Country:US
Practice Address - Phone:870-356-4801
Practice Address - Fax:870-356-5467
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARN7783207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116596003Medicaid
AR116596003Medicaid
AR116596003Medicaid
ARE33233Medicare UPIN