Provider Demographics
NPI:1952402620
Name:HILTON HEALTH AND WELLNESS CHIROPRACTIC L.L.C.
Entity Type:Organization
Organization Name:HILTON HEALTH AND WELLNESS CHIROPRACTIC L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-765-2606
Mailing Address - Street 1:PO BOX 378
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65556-0378
Mailing Address - Country:US
Mailing Address - Phone:573-765-2606
Mailing Address - Fax:573-765-2607
Practice Address - Street 1:120 W. MCCLURG AVE.
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MO
Practice Address - Zip Code:65556
Practice Address - Country:US
Practice Address - Phone:573-765-2606
Practice Address - Fax:573-765-2607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006021424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty