Hillam, Rodney H.
Hillam, Rodney H. is an sole proprietor health care provider with primary practice located at 3325 S. Holmes Ave. , Idaho Falls ID 83404. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hillam, Rodney H. can be contacted via phone (208) 524-1800.Contact Information
Primary practice address
3325 S. Holmes Ave.
Idaho Falls ID 83404
Phone: (208) 524-1800
Fax: (208) 524-1890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 113353500 | Wyoming |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 2019 | Idaho |
Profile Details
| NPI number | 1225289390 |
|---|---|
| LBN Legal business name | Hillam, Rodney H. |
| Credentials | DDS, MS, PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2008 |
| Last updated | Oct 7th, 2008 - about 17 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 | 1225289390 | NPPES |
| Idaho | Other | 60301 | BLUE CROSS OF ID |
| Idaho | MEDICAID | 002584200 | BLUE CROSS OF ID |
| Idaho | Other | 840380 | BLUE CROSS OF ID |
| Idaho | MEDICAID | 113353500 | BLUE CROSS OF ID |
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