Hilgendorf, William A
Hilgendorf, William A is an sole proprietor health care provider with primary practice located at 11725 N Illinois St Ste 3501, Carmel IN 46032-3008. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hilgendorf, William A can be contacted via phone (317) 688-2647.Contact Information
Primary practice address
11725 N Illinois St Ste 3501
Carmel IN 46032-3008
Phone: (317) 688-2647
Fax: (317) 688-2921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 20040359A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040359A | Indiana |
Profile Details
| NPI number | 1265439921 |
|---|---|
| LBN Legal business name | Hilgendorf, William A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Oct 19th, 2021 - about 3 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 | 1265439921 | NPPES |
| Indiana | MEDICAID | 100337310B | |
| Indiana | Other | P00831908 | |
| Indiana | MEDICAID | 100337310 |
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