Provider Demographics
NPI:1831198456
Name:HILL, SHARON S (DC)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:S
Last Name:HILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 WRIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53405-5007
Mailing Address - Country:US
Mailing Address - Phone:262-633-4016
Mailing Address - Fax:262-633-0655
Practice Address - Street 1:2710 WRIGHT AVE
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53405-5007
Practice Address - Country:US
Practice Address - Phone:262-633-4016
Practice Address - Fax:262-633-0655
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2009-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2497111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000070302Medicare ID - Type Unspecified