Provider Demographics
NPI:1538489596
Name:NORTHERN HILLS CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:NORTHERN HILLS CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:HINTGEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-644-0566
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-0370
Mailing Address - Country:US
Mailing Address - Phone:605-644-0566
Mailing Address - Fax:605-644-0568
Practice Address - Street 1:712 N 12TH ST
Practice Address - Street 2:
Practice Address - City:SPEARFISH
Practice Address - State:SD
Practice Address - Zip Code:57783-2239
Practice Address - Country:US
Practice Address - Phone:605-644-0566
Practice Address - Fax:605-644-0568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty