Provider Demographics
NPI:1992882591
Name:HILL, MATHEW ZANE (DC)
Entity type:Individual
Prefix:
First Name:MATHEW
Middle Name:ZANE
Last Name:HILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 MEMORIAL BLVD.
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112
Mailing Address - Country:US
Mailing Address - Phone:276-632-3334
Mailing Address - Fax:276-632-1882
Practice Address - Street 1:1141 MEMORIAL BLVD.
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112
Practice Address - Country:US
Practice Address - Phone:276-632-3334
Practice Address - Fax:276-632-1882
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor