Provider Demographics
NPI:1851610570
Name:HILL, JOHANNA SF (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHANNA
Middle Name:SF
Last Name:HILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 LAFAYETTE ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6125
Mailing Address - Country:US
Mailing Address - Phone:207-846-9292
Mailing Address - Fax:207-846-9290
Practice Address - Street 1:106 LAFAYETTE ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6125
Practice Address - Country:US
Practice Address - Phone:207-846-9292
Practice Address - Fax:207-846-9290
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1967111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor