Hilsbos, Kenneth
Hilsbos, Kenneth is an individual health care provider with primary practice located at 5 Erwin Ln Ste B , Fairmont WV 26554-1376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hilsbos, Kenneth can be contacted via phone (304) 612-9186.Contact Information
Primary practice address
5 Erwin Ln Ste B
Fairmont WV 26554-1376
Phone: (304) 612-9186
Fax: (304) 366-7763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17553 | West Virginia |
Profile Details
| NPI number | 1912922980 |
|---|---|
| LBN Legal business name | Hilsbos, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jun 21st, 2021 - about 4 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 | 1912922980 | NPPES |
| West Virginia | MEDICAID | 3810003579 |
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