Hultman, Paul
Hultman, Paul is an individual health care provider with primary practice located at 3401 Mcintosh Cir Ste 100 , Joplin MO 64804-3651. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hultman, Paul can be contacted via phone (417) 347-7200.Contact Information
Primary practice address
3401 Mcintosh Cir Ste 100
Joplin MO 64804-3651
Phone: (417) 347-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 109308 | Missouri |
Profile Details
| NPI number | 1285679951 |
|---|---|
| LBN Legal business name | Hultman, Paul |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Mar 19th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285679951 | NPPES |
| Kansas | MEDICAID | 200362690A | |
| Kansas | MEDICAID | 200071950A | |
| Kansas | Other | 205692 | |
| Kansas | Other | P00279795 |
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