Provider Demographics
NPI:1124188214
Name:HILBISH, JUDY F (MD)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:F
Last Name:HILBISH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 W 4TH ST STE 107
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-5146
Mailing Address - Country:US
Mailing Address - Phone:775-322-8132
Mailing Address - Fax:
Practice Address - Street 1:1155 W 4TH ST STE 107
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-5146
Practice Address - Country:US
Practice Address - Phone:775-322-8132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4006207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV20-16130Medicaid
NVC96145Medicare UPIN
NVBFBQMMedicare ID - Type Unspecified