Provider Demographics
NPI:1003014531
Name:HILL, STUART ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:ALLEN
Last Name:HILL
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 1:1212 ASHLEY CIR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-5821
Mailing Address - Country:US
Mailing Address - Phone:270-781-1310
Mailing Address - Fax:270-781-1359
Practice Address - Street 1:1212 ASHLEY CIR
Practice Address - Street 2:SUITE 5
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-5821
Practice Address - Country:US
Practice Address - Phone:270-781-1310
Practice Address - Fax:270-781-1359
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4312111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000062737OtherBLUE CROSS BLUE SHIELD
KY6074801Medicare ID - Type Unspecified
KYU63236Medicare UPIN