Provider Demographics
NPI:1376665158
Name:HILLMAN, HOWARD HUGH (CPED)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:HUGH
Last Name:HILLMAN
Suffix:
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 W 55TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1745
Mailing Address - Country:US
Mailing Address - Phone:303-238-8443
Mailing Address - Fax:303-238-8722
Practice Address - Street 1:1775 W 55TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-1745
Practice Address - Country:US
Practice Address - Phone:303-238-8443
Practice Address - Fax:303-238-8722
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO291U00000X291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory