Healthcare Provider Details

I. General information

NPI: 1639515976
Provider Name (Legal Business Name): CHRISTOPHER CURT HILL BC-HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 05/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 E 71ST ST STE 5
INDIANAPOLIS IN
46220-3900
US

IV. Provider business mailing address

5501 E 71ST ST STE 5
INDIANAPOLIS IN
46220-3900
US

V. Phone/Fax

Practice location:
  • Phone: 317-292-9854
  • Fax: 317-362-0037
Mailing address:
  • Phone: 317-292-9854
  • Fax: 317-362-0037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number17001073A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: