Provider Demographics
NPI:1184796658
Name:HILL, BENJAMIN ALBERT JR (DO)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:ALBERT
Last Name:HILL
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNTERE KIPPSTRASSE #3
Mailing Address - Street 2:
Mailing Address - City:ALTENBACH
Mailing Address - State:BADEN-WURTTEMBURG
Mailing Address - Zip Code:69198
Mailing Address - Country:DE
Mailing Address - Phone:49622-091-4119
Mailing Address - Fax:
Practice Address - Street 1:CMR 442 BOX 548
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09042
Practice Address - Country:DE
Practice Address - Phone:49622-117-3105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1689207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine