Provider Demographics
NPI:1710939509
Name:HULL, HAROLD O (AUD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:O
Last Name:HULL
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 MCCANDLESS DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6115
Mailing Address - Country:US
Mailing Address - Phone:989-839-6208
Mailing Address - Fax:
Practice Address - Street 1:2520 MCCANDLESS DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6115
Practice Address - Country:US
Practice Address - Phone:989-839-6201
Practice Address - Fax:989-839-6202
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2015-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000045237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI640E626040OtherBCBS AUDIOLOGY TESTING
MI540E602710OtherBCBS HEARING AIDS