Provider Demographics
NPI:1457533986
Name:HULS, BRENNAN THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENNAN
Middle Name:THOMAS
Last Name:HULS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 KRUGER ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-5160
Mailing Address - Country:US
Mailing Address - Phone:304-242-0866
Mailing Address - Fax:
Practice Address - Street 1:156 KRUGER ST
Practice Address - Street 2:SUITE B
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-5160
Practice Address - Country:US
Practice Address - Phone:304-242-0866
Practice Address - Fax:304-242-2252
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV876111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor