MEDICARE: JANITA HILL

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
1	172A00000X	Driver

General Provider Information

NPI Number	:	1740824903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANITA HILL

Provider Business Mailing Address
First Line	:	5509 LEONE CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-1743
Country	:	US
Telephone Number	:	317-384-3997
Fax Number	:

Provider Business Practice Location Address
First Line	:	5509 LEONE CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-1743
Country	:	US
Telephone Number	:	317-384-3997
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	10/31/2019

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Directions to “ JANITA HILL ” Practice Location

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