Individual
DR. IVAGENE P. HULTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC, CICE
Contact information
Practice address
2250 E TROPICANA AVE, #3, LAS VEGAS, NV 89119-6541
(702) 245-6090
(702) 269-7078
Mailing address
7250 DINGO CT, LAS VEGAS, NV 89119-4556
(702) 245-6090
(702) 269-7078
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
B00470
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006922
FOCUS HEALTHCARE MGT.
NV
01
—
18825
DC LICENSE
CA
01
—
737260
FIRSTS HEALTH
NV
01
—
865091
USA MANAGED CARE
NV
01
—
9156671
PHCS
NV
01
—
B00470
DC LICENSE
NV
01
—
NVIPH-HCR
EDI SUBMITTER ID FOR IVA
NV
01
—
P-65814852
MULTIPLAN, INC.
NV
Enumeration date
08/09/2005
Last updated
07/08/2007
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