Provider Demographics
NPI:1124132055
Name:KULIK, STEPHEN L (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:L
Last Name:KULIK
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 1:1850 E EMMAUS AVENUE
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-4422
Mailing Address - Country:US
Mailing Address - Phone:610-791-1020
Mailing Address - Fax:610-791-9691
Practice Address - Street 1:1850 E EMMAUS AVENUE
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-4422
Practice Address - Country:US
Practice Address - Phone:610-791-1020
Practice Address - Fax:610-791-9691
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001414L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
02562200OtherCAPITAL BLUE CROSS
PA0006361960001Medicaid
AL1327482OtherHIGHMARK BLUE SHIELD
055222Medicare ID - Type Unspecified
PA0006361960001Medicaid
116005QCQMedicare PIN