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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1033158324 | NPPES |
| Michigan | Other | 71020000F34840 | BLUE CROSS AND BLUE SHIEL |
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