Provider Demographics
NPI:1245352780
Name:HILL CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:HILL CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-860-4455
Mailing Address - Street 1:556 WALMART DR
Mailing Address - Street 2:
Mailing Address - City:SULLIVAN
Mailing Address - State:MO
Mailing Address - Zip Code:63080-3326
Mailing Address - Country:US
Mailing Address - Phone:573-860-4455
Mailing Address - Fax:573-860-4456
Practice Address - Street 1:556 WALMART DR
Practice Address - Street 2:
Practice Address - City:SULLIVAN
Practice Address - State:MO
Practice Address - Zip Code:63080-3326
Practice Address - Country:US
Practice Address - Phone:573-860-4455
Practice Address - Fax:573-860-4456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE006261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOCE006261OtherSTATE LICENSE
MOCE006261OtherSTATE LICENSE