Provider Demographics
NPI:1386863124
Name:HULL CHIROPRACTIC ENTERPRISES, INC
Entity Type:Organization
Organization Name:HULL CHIROPRACTIC ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOBART
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:HULL
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:913-888-6789
Mailing Address - Street 1:10251 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-4675
Mailing Address - Country:US
Mailing Address - Phone:913-888-6789
Mailing Address - Fax:913-888-6816
Practice Address - Street 1:10251 W 87TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-4675
Practice Address - Country:US
Practice Address - Phone:913-888-6789
Practice Address - Fax:913-888-6816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0103629111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS70252OtherBLUE CROSS BLUE SHIELD
KS70252OtherBLUE CROSS BLUE SHIELD