Provider Demographics
NPI:1962502757
Name:BRUCE A HILTON PA
Entity Type:Organization
Organization Name:BRUCE A HILTON PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-328-2371
Mailing Address - Street 1:715 FAIRGROVE CHURCH RD SE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-9290
Mailing Address - Country:US
Mailing Address - Phone:828-328-2371
Mailing Address - Fax:828-328-6493
Practice Address - Street 1:715 FAIRGROVE CHURCH RD SE
Practice Address - Street 2:SUITE 101
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-9290
Practice Address - Country:US
Practice Address - Phone:828-328-2371
Practice Address - Fax:828-328-6493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCT64385Medicare UPIN
NC244334AMedicare PIN