Hulstyn, Michael Jan

Hulstyn, Michael Jan is an sole proprietor health care provider with primary practice located at 2 Dudley St Ste 200, Providence RI 02905-3236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Hulstyn, Michael Jan can be contacted via phone (401) 457-1530.

Contact Information

Primary practice address
2 Dudley St Ste 200 Providence RI 02905-3236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD08456 Rhode Island

Profile Details

NPI number 1508814062
LBN Legal business name Hulstyn, Michael Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Jun 3rd, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508814062 NPPES
Rhode Island MEDICAID 9020166

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