Individual provider Active NPI

Paul Allen Thulin, MBA-HIS

  • Hearing Instrument Specialist
  • Bloomington, MN
National Provider Identifier
1477788388
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2665 Issued in MN
Practice address
10800 Normandale Blvd
Suite 103M
Bloomington, MN 55437-3130
Phone
(952) 225-1604
Fax
(952) 241-9202
NPI assigned
May 20, 2009
Last updated
Nov 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2665 MN Primary

Addresses

Primary practice location

10800 Normandale Blvd
Suite 103M
Bloomington, MN 55437-3130

Mailing address

10800 Normandale Blvd
Suite 103M
Bloomington, MN 55437-3130
Phone (952) 225-1604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2665MNMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1477788388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 NORMANDALE BLVD",
            "address_2": "SUITE 103M",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373130",
            "telephone_number": "952-225-1604",
            "fax_number": "952-241-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 NORMANDALE BLVD",
            "address_2": "SUITE 103M",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373130",
            "telephone_number": "952-225-1604",
            "fax_number": "952-241-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THULIN",
        "first_name": "PAUL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "MBA-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.