Provider Demographics
NPI:1598066078
Name:HULSE FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:HULSE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:D
Authorized Official - Last Name:HULSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-751-0033
Mailing Address - Street 1:897 HIGHWAY 31 SW
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-2872
Mailing Address - Country:US
Mailing Address - Phone:256-751-0033
Mailing Address - Fax:256-751-0037
Practice Address - Street 1:897 HIGHWAY 31 SW
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2872
Practice Address - Country:US
Practice Address - Phone:256-751-0033
Practice Address - Fax:256-751-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1636111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty