Healthcare Provider Details

I. General information

NPI: 1508202672
Provider Name (Legal Business Name): CHRIS GULICK HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2013
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 ELM ST
LITTLETON NH
03561-4703
US

IV. Provider business mailing address

18 MASCOMA ST
LEBANON NH
03766-1376
US

V. Phone/Fax

Practice location:
  • Phone: 603-444-2895
  • Fax: 603-727-9415
Mailing address:
  • Phone: 603-727-9210
  • Fax: 603-727-9415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberH603
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: