Provider Demographics
NPI:1225464241
Name:HADDEN, BRUCE E (DC)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:E
Last Name:HADDEN
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 1:17 RIVERVIEW ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4135
Mailing Address - Country:US
Mailing Address - Phone:978-998-5642
Mailing Address - Fax:
Practice Address - Street 1:89 PORTSMOUTH AVE
Practice Address - Street 2:
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885-2467
Practice Address - Country:US
Practice Address - Phone:603-772-6400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH1699111N00000X, 111NN1001X
NH930111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111N00000XChiropractic ProvidersChiropractor