Hildebrand, Mark Steven
Hildebrand, Mark Steven is an sole proprietor health care provider with primary practice located at 87 N Main St , Rutland VT 05701-3257. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hildebrand, Mark Steven can be contacted via phone (802) 747-6394.Contact Information
Primary practice address
87 N Main St
Rutland VT 05701-3257
Phone: (802) 747-6394
Fax: (802) 747-9073
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 0400002686 | Vermont |
Profile Details
NPI number | 1568599140 |
---|---|
LBN Legal business name | Hildebrand, Mark Steven |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 28th, 2007 |
Last updated | Oct 2nd, 2013 - about 11 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 | 1568599140 | NPPES |
Vermont | MEDICAID | 1007968 |
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