Hillegas, Jon R

Hillegas, Jon R is an individual health care provider with primary practice located at 13640 N Plaza Del Rio Blvd Ste 310, Peoria AZ 85381-4846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hillegas, Jon R can be contacted via phone (623) 876-3910.

Contact Information

Primary practice address
13640 N Plaza Del Rio Blvd Ste 310 Peoria AZ 85381-4846
Fax: (623) 876-6953
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 6165 Arizona

Profile Details

NPI number 1194765370
LBN Legal business name Hillegas, Jon R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 16th, 2012 - about 13 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 1194765370 NPPES
Arizona MEDICAID 227183

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