Hiles, Jon Jacob

Hiles, Jon Jacob is an sole proprietor health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905-8764. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacotherapy is his primary health care specialty. Hiles, Jon Jacob can be contacted via phone (765) 838-5095.

Contact Information

Primary practice address
5165 Mccarty Ln Lafayette IN 47905-8764
Phone: (765) 838-5095
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 15125-40 Wisconsin
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 26022538A Indiana

Profile Details

NPI number 1396977013
LBN Legal business name Hiles, Jon Jacob
Credentials PHARMD, BCPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2009
Last updated Aug 30th, 2012 - about 12 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 1396977013 NPPES
Wisconsin Other 15125-40 PHARMACIST
Wisconsin Other 26022538A PHARMACIST

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