Provider Demographics
NPI:1295983104
Name:HILL, CHRISTOPHER C (MSPA-C)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:C
Last Name:HILL
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Gender:M
Credentials:MSPA-C
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Mailing Address - Street 1:1 MEDICAL PARK
Mailing Address - Street 2:WHEELING HOSPITAL INC
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-243-3124
Mailing Address - Fax:304-243-1038
Practice Address - Street 1:1 MEDICAL PARK
Practice Address - Street 2:WHEELING HOSPITAL INC
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-243-3124
Practice Address - Fax:304-243-1038
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV01347363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV01347OtherSTATE OF WEST VIRGINIA