Provider Demographics
NPI:1811929987
Name:HILL, CLIFF DANIEL (DC)
Entity type:Individual
Prefix:DR
First Name:CLIFF
Middle Name:DANIEL
Last Name:HILL
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 1:467 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WV
Mailing Address - Zip Code:25130-1223
Mailing Address - Country:US
Mailing Address - Phone:304-369-9500
Mailing Address - Fax:304-369-7989
Practice Address - Street 1:467 MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WV
Practice Address - Zip Code:25130-1223
Practice Address - Country:US
Practice Address - Phone:304-369-9500
Practice Address - Fax:304-369-7989
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV2202031000Medicaid
WV4086533Medicare PIN
WV4086534Medicare PIN
WV2202031000Medicaid