Hibbard, Jim N

Hibbard, Jim N is an individual health care provider with primary practice located at 1219 Sw 4Th Ave Unit 1 , Ontario OR 97914-4500. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Hibbard, Jim N can be contacted via phone (208) 919-6407.

Contact Information

Primary practice address
1219 Sw 4Th Ave Unit 1 Ontario OR 97914-4500
Phone: (208) 919-6407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMSW-34035 Idaho

Profile Details

NPI number 1194116574
LBN Legal business name Hibbard, Jim N
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2015
Last updated Feb 6th, 2015 - about 11 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 1194116574 NPPES
Idaho Other LMSW-34035 LMSW

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