Hillam, Michael Loren
Hillam, Michael Loren is an sole proprietor health care provider with primary practice located at 4696 W Overland Rd Ste 156 , Boise ID 83705-2878. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hillam, Michael Loren can be contacted via phone (208) 577-6617.Contact Information
Primary practice address
4696 W Overland Rd Ste 156
Boise ID 83705-2878
Phone: (208) 577-6617
Fax: (208) 577-6617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-202427 | Idaho |
Profile Details
| NPI number | 1982738563 |
|---|---|
| LBN Legal business name | Hillam, Michael Loren |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Oct 27th, 2017 - about 7 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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