Hillstrom, Jennifer L.

Hillstrom, Jennifer L. is an individual health care provider with primary practice located at 96 Campus Drive Suite 1, Scarborough ME 04074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Hillstrom, Jennifer L. can be contacted via phone (207) 885-9905.

Contact Information

Primary practice address
96 Campus Drive Suite 1 Scarborough ME 04074
Fax: (207) 396-5600
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD15436 Maine

Profile Details

NPI number 1881637155
LBN Legal business name Hillstrom, Jennifer L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 26th, 2015 - about 9 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 1881637155 NPPES
New Hampshire MEDICAID 30201275
New Hampshire MEDICAID 330700099

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