Provider Demographics
NPI:1467527929
Name:HILL CHIROPRACTIC OFFICE PC
Entity Type:Organization
Organization Name:HILL CHIROPRACTIC OFFICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-659-8155
Mailing Address - Street 1:602 12TH ST
Mailing Address - Street 2:
Mailing Address - City:DE WITT
Mailing Address - State:IA
Mailing Address - Zip Code:52742-1124
Mailing Address - Country:US
Mailing Address - Phone:563-659-8155
Mailing Address - Fax:563-659-3520
Practice Address - Street 1:602 12TH ST
Practice Address - Street 2:
Practice Address - City:DE WITT
Practice Address - State:IA
Practice Address - Zip Code:52742-1124
Practice Address - Country:US
Practice Address - Phone:563-659-8155
Practice Address - Fax:563-659-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04231111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0094433Medicaid
IAT00712Medicare UPIN
IA0094433Medicaid