Individual
PAUL HULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3401 MCINTOSH CIR STE 100, JOPLIN, MO 64804-3651
(417) 347-7200
Mailing address
PO BOX 3810, JOPLIN, MO 64803
(417) 347-4662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
109308
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071950A
—
OK
05
—
200362690A
—
KS
01
—
205692
ANTHEM
MO
01
—
P00279795
RR MEDICARE
—
Enumeration date
06/18/2006
Last updated
03/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us