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: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S MAIN ST STE H
WOLFEBORO NH
03894-4664
US

IV. Provider business mailing address

240 S MAIN ST STE H
WOLFEBORO NH
03894-4664
US

V. Phone/Fax

Practice location:
  • Phone: 603-569-7690
  • Fax: 603-569-7664
Mailing address:
  • Phone: 603-569-7690
  • Fax: 603-569-7664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number19069
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: