Provider Demographics
NPI:1841204468
Name:HILL, NEIL STRAIT (DO)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:STRAIT
Last Name:HILL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:939 VETERANS DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORTH VERNON
Mailing Address - State:IN
Mailing Address - Zip Code:47265
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ININ02001786207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ02001786OtherINDIANA LICENSE NUMBER
IN200126960AMedicaid
IN178430Medicare ID - Type UnspecifiedPART B
ING60715Medicare UPIN