Freitas, Jillian
Freitas, Jillian is an individual health care provider with primary practice located at 95 Mahalani St Rm 21 , Wailuku HI 96793-2521. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Freitas, Jillian can be contacted via phone (808) 244-4647.Contact Information
Primary practice address
95 Mahalani St Rm 21
Wailuku HI 96793-2521
Phone: (808) 244-4647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-1747 | Hawaii |
Profile Details
| NPI number | 1811398357 |
|---|---|
| LBN Legal business name | Freitas, Jillian |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2014 |
| Last updated | Nov 16th, 2018 - about 6 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 | 1811398357 | NPPES |
| Oregon | MEDICAID | 500673381 |
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