Hilborn, Mark
Hilborn, Mark is an individual health care provider with primary practice located at 13813 Metro Pkwy , Fort Myers FL 33912-4343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hilborn, Mark can be contacted via phone (239) 936-1343.Contact Information
Primary practice address
13813 Metro Pkwy
Fort Myers FL 33912-4343
Phone: (239) 936-1343
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036101049 | Illinois |
Profile Details
| NPI number | 1750380457 |
|---|---|
| LBN Legal business name | Hilborn, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Feb 19th, 2020 - about 5 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 | 1750380457 | NPPES |
| Illinois | Other | 300104799 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 0361010491 | RAILROAD MEDICARE |
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