Provider Demographics
NPI:1134796881
Name:HILL, MICHAEL LASHAWN (PARAMEDIC, ATP)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:LASHAWN
Last Name:HILL
Suffix:
Gender:M
Credentials:PARAMEDIC, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 OLIVE PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-7303
Mailing Address - Country:US
Mailing Address - Phone:253-503-9691
Mailing Address - Fax:
Practice Address - Street 1:1253 MAKALAPA GATE RD BLDG 1407
Practice Address - Street 2:
Practice Address - City:JBPHH
Practice Address - State:HI
Practice Address - Zip Code:96860-4479
Practice Address - Country:US
Practice Address - Phone:253-503-9691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider