Provider Demographics
NPI:1508890716
Name:DULMES, DIRK MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:DIRK
Middle Name:MATTHEW
Last Name:DULMES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 S BUSINESS PARK DR STE A7
Mailing Address - Street 2:
Mailing Address - City:OOSTBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53070-1586
Mailing Address - Country:US
Mailing Address - Phone:920-564-6061
Mailing Address - Fax:920-564-6081
Practice Address - Street 1:220 S BUSINESS PARK DR STE A4
Practice Address - Street 2:
Practice Address - City:OOSTBURG
Practice Address - State:WI
Practice Address - Zip Code:53070-1586
Practice Address - Country:US
Practice Address - Phone:920-564-6061
Practice Address - Fax:920-564-6081
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4192-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000075222Medicare UPIN