Provider Demographics
NPI:1407491327
Name:HILLS, JOSHUA NATHAN
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:NATHAN
Last Name:HILLS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX NKI
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99950-0550
Mailing Address - Country:US
Mailing Address - Phone:907-401-0664
Mailing Address - Fax:888-349-6205
Practice Address - Street 1:LOT 3 BLOCK 2
Practice Address - Street 2:
Practice Address - City:NAUKATI
Practice Address - State:AK
Practice Address - Zip Code:99950-0550
Practice Address - Country:US
Practice Address - Phone:907-401-0664
Practice Address - Fax:888-349-6205
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK7456023OtherDRIVERS LICENSE