Individual
DR. FREDRIC CHARLES HILL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
195 ELM ST, BLACKFOOT, ID 83221-1970
(208) 785-5262
(208) 785-5263
Mailing address
195 ELM ST, BLACKFOOT, ID 83221-1970
(208) 785-5262
(208) 785-5263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-535
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIA-535
STATE LICENSE
ID
Enumeration date
11/28/2006
Last updated
07/08/2007
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