Provider Demographics
NPI:1629099544
Name:STUART A HILL DC PSC
Entity Type:Organization
Organization Name:STUART A HILL DC PSC
Other - Org Name:HILL CHIROPRACTIC OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-781-1310
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4312111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000062737OtherBLUE CROSS BLUE SHIELD
KY6074801Medicare ID - Type Unspecified
KY000000062737OtherBLUE CROSS BLUE SHIELD