Provider Demographics
NPI:1750459913
Name:NEIL STRAIT HILL NORTH VERNON FAMILY MEDICINE
Entity Type:Organization
Organization Name:NEIL STRAIT HILL NORTH VERNON FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:STRAIT
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:812-352-8333
Mailing Address - Street 1:939 VETERANS DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORTH VERNON
Mailing Address - State:IN
Mailing Address - Zip Code:47265-2602
Mailing Address - Country:US
Mailing Address - Phone:812-352-8333
Mailing Address - Fax:812-352-8233
Practice Address - Street 1:939 VETERANS DR
Practice Address - Street 2:SUITE A
Practice Address - City:NORTH VERNON
Practice Address - State:IN
Practice Address - Zip Code:47265-2602
Practice Address - Country:US
Practice Address - Phone:812-352-8333
Practice Address - Fax:812-352-8233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02001786A207Q00000X
IN71001952A363LF0000X
IN71000295A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty