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NPI Code Detail

MEDICARE: BRENT A HILL CHIROPRACTIC INC

MEDICARE: BRENT A HILL CHIROPRACTIC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1396195772
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRENT A HILL CHIROPRACTIC INC
Provider Business Mailing Address
First Line : 3609 OAKDALE RD
Second Line : SUITE 5
City : MODESTO
State : CA
Zip : 95357-0718
Country : US
Telephone Number : 209-551-8888
Fax Number :
Provider Business Practice Location Address
First Line : 3609 OAKDALE RD
Second Line : SUITE 5
City : MODESTO
State : CA
Zip : 95357-0718
Country : US
Telephone Number : 209-551-8888
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOHN W HILL
Credential : DC
Telephone Number : 209-551-8888
Provider Enumeration Date : 06/16/2016
Last Update Date : 06/16/2016

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Directions to “BRENT A HILL CHIROPRACTIC INC ” Practice Location

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