Provider Demographics
NPI:1811002934
Name:HULT, FREDERICK E (DC, PHD, DACBI, DACB)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:E
Last Name:HULT
Suffix:
Gender:M
Credentials:DC, PHD, DACBI, DACB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-5599
Mailing Address - Country:US
Mailing Address - Phone:815-344-0900
Mailing Address - Fax:815-344-1148
Practice Address - Street 1:306 FRONT ST
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-5599
Practice Address - Country:US
Practice Address - Phone:815-344-0900
Practice Address - Fax:815-344-1148
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NI0900X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NI0900XChiropractic ProvidersChiropractorInternist
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL683990Medicare ID - Type Unspecified
ILT37824Medicare UPIN