Hill, Alan Walter
Hill, Alan Walter is an individual health care provider with primary practice located at 845 South Main Street Suite 120, Fond Du Lac WI 54935. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Hill, Alan Walter can be contacted via phone (920) 322-0447.Contact Information
Primary practice address
845 South Main Street Suite 120
Fond Du Lac WI 54935
Phone: (920) 322-0447
Fax: (920) 322-1362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 831-019 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 631-019 | Wisconsin |
Profile Details
| NPI number | 1861605743 |
|---|---|
| LBN Legal business name | Hill, Alan Walter |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Feb 1st, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861605743 | NPPES |
| Wisconsin | MEDICAID | 40333600 |
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