Provider Demographics
NPI:1265610430
Name:HULS, ADELE (PHD, RD, LMNT, LN)
Entity type:Individual
Prefix:
First Name:ADELE
Middle Name:
Last Name:HULS
Suffix:
Gender:F
Credentials:PHD, RD, LMNT, LN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16614 HIGHWAY 385
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-7366
Mailing Address - Country:US
Mailing Address - Phone:308-432-3841
Mailing Address - Fax:
Practice Address - Street 1:16614 HIGHWAY 385
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-7366
Practice Address - Country:US
Practice Address - Phone:308-432-3841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-09
Last Update Date:2008-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE303442133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025255000Medicaid
NEP50906Medicare UPIN