Provider Demographics
NPI:1215143284
Name:HILL, WILBERT JOSEPH
Entity type:Individual
Prefix:MR
First Name:WILBERT
Middle Name:JOSEPH
Last Name:HILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 SIR ECHO SHRS
Mailing Address - Street 2:LOT 41
Mailing Address - City:PIERMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03779-3609
Mailing Address - Country:US
Mailing Address - Phone:603-359-8463
Mailing Address - Fax:
Practice Address - Street 1:7 ROPE FERRY RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-1404
Practice Address - Country:US
Practice Address - Phone:603-646-9440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH033447-21163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health