Provider Demographics
NPI:1932566551
Name:HILLQUIST CHIROPRACTIC HEALTH CENTER INC
Entity Type:Organization
Organization Name:HILLQUIST CHIROPRACTIC HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:CLIFFORD
Authorized Official - Last Name:HILLQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:DC ACN
Authorized Official - Phone:818-988-0901
Mailing Address - Street 1:7120 HAYVENHURST AVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3843
Mailing Address - Country:US
Mailing Address - Phone:818-988-0901
Mailing Address - Fax:818-988-0954
Practice Address - Street 1:7120 HAYVENHURST AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3843
Practice Address - Country:US
Practice Address - Phone:818-988-0901
Practice Address - Fax:818-988-0954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 19483111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADG691AMedicare PIN