Provider Demographics
NPI:1659427078
Name:HILL, DAVID V (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:V
Last Name:HILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-6012
Mailing Address - Country:US
Mailing Address - Phone:760-724-8888
Mailing Address - Fax:760-758-2490
Practice Address - Street 1:329 MAIN ST
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-6012
Practice Address - Country:US
Practice Address - Phone:760-724-8888
Practice Address - Fax:760-758-2490
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC14635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CB230231Medicare UPIN