Provider Demographics
NPI:1053468256
Name:HULSLANDER, BRUCE A (DC)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:A
Last Name:HULSLANDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4507
Mailing Address - Country:US
Mailing Address - Phone:603-883-5936
Mailing Address - Fax:
Practice Address - Street 1:58 E DUNSTABLE RD
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5809
Practice Address - Country:US
Practice Address - Phone:603-888-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH06609510580A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0508493Y0NH01OtherBCBS
NH066095OtherTUFTS
NH80009283Medicaid
NH20290OtherCIGNA
NHNA1718OtherHARVARD PILGRIM
NHNH9263Medicare ID - Type Unspecified
NHT25844Medicare UPIN