Provider Demographics
NPI:1104086248
Name:HULL CHIROPRACTIC INC
Entity type:Organization
Organization Name:HULL CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-243-2392
Mailing Address - Street 1:6443 W 10TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-6501
Mailing Address - Country:US
Mailing Address - Phone:317-243-2392
Mailing Address - Fax:317-244-2032
Practice Address - Street 1:6443 W 10TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-6501
Practice Address - Country:US
Practice Address - Phone:317-243-2392
Practice Address - Fax:317-244-2032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001624A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty