Provider Demographics
NPI:1750454492
Name:HILLMAN, PHILIP AARON (DC)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:AARON
Last Name:HILLMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 CAR MOL DR APT 8
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1109
Mailing Address - Country:US
Mailing Address - Phone:423-791-1164
Mailing Address - Fax:
Practice Address - Street 1:110 UNIVERSITY PKWY APT 1
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-7334
Practice Address - Country:US
Practice Address - Phone:423-926-9100
Practice Address - Fax:423-926-9200
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1453111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU99680Medicare UPIN
TN3972302Medicare ID - Type Unspecified