Hileman, Jack L

Hileman, Jack L is an sole proprietor health care provider with primary practice located at 1451 S Elm Eugene St , Greensboro NC 27406-2200. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Hileman, Jack L can be contacted via phone (336) 202-0846.

Contact Information

Primary practice address
1451 S Elm Eugene St Greensboro NC 27406-2200
Phone: (336) 202-0846
Fax: (866) 420-9205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1091 North Carolina

Profile Details

NPI number 1588721997
LBN Legal business name Hileman, Jack L
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jun 24th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588721997 NPPES
North Carolina MEDICAID 6105060

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