Hibler, Russell J
Hibler, Russell J is an individual health care provider with primary practice located at 857 Park Ave , Baltimore MD 21201-4800. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Hibler, Russell J can be contacted via phone (410) 244-0227.Contact Information
Primary practice address
857 Park Ave
Baltimore MD 21201-4800
Phone: (410) 244-0227
Fax: (866) 695-6454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 01803 | Maryland |
Profile Details
| NPI number | 1700842903 |
|---|---|
| LBN Legal business name | Hibler, Russell J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jan 8th, 2016 - about 9 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 | 1700842903 | NPPES |
| Maryland | MEDICAID | 229951800 |
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