Hillenberg, Jeffry Bruce

Hillenberg, Jeffry Bruce is an sole proprietor health care provider with primary practice located at 3577 W 13 Mile Rd Suite 142, Royal Oak MI 48073-6710. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hillenberg, Jeffry Bruce can be contacted via phone (248) 892-4364.

Contact Information

Primary practice address
3577 W 13 Mile Rd Suite 142 Royal Oak MI 48073-6710
Phone: (248) 892-4364
Fax: (248) 551-8437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301006433 Michigan

Profile Details

NPI number 1033158324
LBN Legal business name Hillenberg, Jeffry Bruce
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033158324 NPPES
Michigan Other 71020000F34840 BLUE CROSS AND BLUE SHIEL

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