Healthcare Provider Details

I. General information

NPI: 1881984961
Provider Name (Legal Business Name): JOEL B HULEATT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 07/16/2021
Certification Date: 06/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 CALEF HIGHWAY
BARRINGTON NH
03825
US

IV. Provider business mailing address

PO BOX 1327
LACONIA NH
03247-1327
US

V. Phone/Fax

Practice location:
  • Phone: 603-664-9003
  • Fax: 603-524-5743
Mailing address:
  • Phone: 603-934-2060
  • Fax: 603-527-7038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number56781
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number19069
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: