Healthcare Provider Details

I. General information

NPI: 1215143284
Provider Name (Legal Business Name): MR. WILBERT JOSEPH HILL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 ROPE FERRY RD
HANOVER NH
03755-1404
US

IV. Provider business mailing address

1002 SIR ECHO SHRS LOT 41
PIERMONT NH
03779-3609
US

V. Phone/Fax

Practice location:
  • Phone: 603-646-9440
  • Fax:
Mailing address:
  • Phone: 603-359-8463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License Number033447-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: