Provider Demographics
NPI:1053828467
Name:HILLTOP FAMILY CHIROPRACTIC CENTER PA
Entity Type:Organization
Organization Name:HILLTOP FAMILY CHIROPRACTIC CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:ASHTON
Authorized Official - Last Name:FREESE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-380-8835
Mailing Address - Street 1:1121 TOWN CENTRE DRIVE SUITE 202
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55123
Mailing Address - Country:US
Mailing Address - Phone:651-452-7141
Mailing Address - Fax:651-452-7255
Practice Address - Street 1:1121 TOWN CENTRE DRIVE SUITE 202
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55123
Practice Address - Country:US
Practice Address - Phone:651-452-7141
Practice Address - Fax:651-452-7255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5891111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty