Hillebert, Paul Frederick

Hillebert, Paul Frederick is an sole proprietor health care provider with primary practice located at 28 S Potomac St #305, Hagerstown MD 21740-6194. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hillebert, Paul Frederick can be contacted via phone (240) 469-9991.

Contact Information

Primary practice address
28 S Potomac St #305 Hagerstown MD 21740-6194
Phone: (240) 469-9991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA418 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12722 Maryland

Profile Details

NPI number 1104135532
LBN Legal business name Hillebert, Paul Frederick
Credentials LCSWC-C, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2010
Last updated Feb 7th, 2018 - about 8 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 1104135532 NPPES
Maryland MEDICAID 442810200

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