Basic Information
Provider Information
NPI: 1881984961
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HULEATT
FirstName: JOEL
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1327
Address2:  
City: LACONIA
State: NH
PostalCode: 032471327
CountryCode: US
TelephoneNumber: 6039342060
FaxNumber: 6035277038
Practice Location
Address1: 346 CALEF HIGHWAY
Address2:  
City: BARRINGTON
State: NH
PostalCode: 03825
CountryCode: US
TelephoneNumber: 6036649003
FaxNumber: 6035245743
Other Information
ProviderEnumerationDate: 04/11/2011
LastUpdateDate: 07/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X56781CTN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X19069NHY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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