MEDICARE: DR. RICHARD LANCE HILTON D.C.

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	111N00000X	Chiropractor	IN080001196	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000091126	OTHER	IN	ANTHEM PIN NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972551182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD LANCE HILTON D.C.

Provider Business Mailing Address
First Line	:	4056 S ARBOR LANE STE 100
Second Line	:	P.O. BOX 476
City	:	NEW PALESTINE
State	:	IN
Zip	:	46163-0476
Country	:	US
Telephone Number	:	317-861-4300
Fax Number	:	317-861-6652

Provider Business Practice Location Address
First Line	:	4056 S ARBOR LN
Second Line	:	STE 100
City	:	NEW PALESTINE
State	:	IN
Zip	:	46163-0476
Country	:	US
Telephone Number	:	317-861-4300
Fax Number	:	317-861-6652

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	06/15/2022

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