Individual
DR. JONATHAN A HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6443 W 10TH ST, SUITE 102, INDIANAPOLIS, IN 46214-6501
(317) 243-2392
(317) 244-2032
Mailing address
2474 HEATHERMOOR PARK DR N, WESTFIELD, IN 46074-8233
(317) 243-2392
(317) 244-2032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001624
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093755
ANTHEM BC BS
IN
05
—
200071230A
—
IN
01
—
350049570
RAILROAD MEDICARE
IN
01
—
352090464
HUMANA/CHOICE CARE NTWK
IN
Enumeration date
06/29/2006
Last updated
01/15/2009
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