Provider Demographics
NPI:1568426898
Name:HILL, PAUL L
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:L
Last Name:HILL
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 1:605 HIGHWAY 7
Mailing Address - Street 2:
Mailing Address - City:ALTA
Mailing Address - State:IA
Mailing Address - Zip Code:51002-7422
Mailing Address - Country:US
Mailing Address - Phone:712-284-2791
Mailing Address - Fax:
Practice Address - Street 1:605 HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:ALTA
Practice Address - State:IA
Practice Address - Zip Code:51002-7422
Practice Address - Country:US
Practice Address - Phone:712-284-2791
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06064111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA48797Medicare ID - Type Unspecified