Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 0104001311 | VA |
NPI | 1992882591 |
---|---|
Provider Name | Mathew Zane Hill |
First Address | Martinsville, VA 24112 |
Second Address | Martinsville, VA 24112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 29/10/2013 |