Healthcare Provider Details

I. General information

NPI: 1053468256
Provider Name (Legal Business Name): BRUCE A HULSLANDER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 E DUNSTABLE RD
NASHUA NH
03060-5809
US

IV. Provider business mailing address

20 WINCHESTER DR
MERRIMACK NH
03054-4507
US

V. Phone/Fax

Practice location:
  • Phone: 603-888-0100
  • Fax:
Mailing address:
  • Phone: 603-883-5936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number06609510580A
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: