Provider Demographics
NPI:1619177342
Name:HULS, NIKKI LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:NIKKI
Middle Name:LEE
Last Name:HULS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2085 N 120TH ST
Mailing Address - Street 2:STE D-6
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3480
Mailing Address - Country:US
Mailing Address - Phone:402-496-4570
Mailing Address - Fax:402-496-8972
Practice Address - Street 1:2085 N 120TH ST
Practice Address - Street 2:STE D-6
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-3480
Practice Address - Country:US
Practice Address - Phone:402-496-4570
Practice Address - Fax:402-496-8972
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1110111N00000X
MN4938111N00000X
AZ7975111N00000X
NE1613111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor