Provider Demographics
NPI:1447357231
Name:HULL, HOBART HOWARD JR (DC)
Entity type:Individual
Prefix:DR
First Name:HOBART
Middle Name:HOWARD
Last Name:HULL
Suffix:JR
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 1:9341 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-3753
Mailing Address - Country:US
Mailing Address - Phone:913-888-6789
Mailing Address - Fax:913-888-6816
Practice Address - Street 1:10400 W 103RD ST STE 20
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-2664
Practice Address - Country:US
Practice Address - Phone:913-888-6789
Practice Address - Fax:913-888-6789
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0103629111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS00070252OtherBLUE CROSS BLUE SHIELD
MO11421019OtherBLUE CROSS BLUE SHIELD
Q275367Medicare ID - Type Unspecified