Provider Demographics
NPI:1922044049
Name:HILL, DONALD GRANT (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:GRANT
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:PO BOX 769
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097-0769
Mailing Address - Country:US
Mailing Address - Phone:530-842-6500
Mailing Address - Fax:530-841-1940
Practice Address - Street 1:106 RANCH LANE
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097
Practice Address - Country:US
Practice Address - Phone:530-842-6500
Practice Address - Fax:530-841-1940
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 25335111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0025335OtherGROUP INSURANCE
CADC0025335OtherGROUP INSURANCE
CADC0253350Medicare ID - Type Unspecified