Healthcare Provider Details
I. General information
NPI: 1780645499
Provider Name (Legal Business Name): DR. DEBORAH LEIGH HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 03/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
510 W MAIN ST STE 6
HEBER SPRINGS AR
72543-3037
US
IV. Provider business mailing address
510 W MAIN ST STE 6
HEBER SPRINGS AR
72543-3037
US
V. Phone/Fax
- Phone: 501-362-6222
- Fax: 501-362-6222
- Phone: 501-362-6222
- Fax: 501-362-6222
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 1438 |
| License Number State | AR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH3709 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: