Provider Demographics
NPI:1942954961
Name:HILL CITY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HILL CITY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCAS
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:WERTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-818-7521
Mailing Address - Street 1:2050 LANGHORNE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1402
Mailing Address - Country:US
Mailing Address - Phone:434-771-2210
Mailing Address - Fax:
Practice Address - Street 1:2050 LANGHORNE RD STE 202
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1402
Practice Address - Country:US
Practice Address - Phone:434-771-2210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty