Provider Demographics
NPI:1629105051
Name:HUM, HILLMAN H (MD)
Entity Type:Individual
Prefix:DR
First Name:HILLMAN
Middle Name:H
Last Name:HUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W CHERRY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-8011
Mailing Address - Country:US
Mailing Address - Phone:740-965-5500
Mailing Address - Fax:740-965-5695
Practice Address - Street 1:700 W CHERRY ST
Practice Address - Street 2:SUITE A
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-8011
Practice Address - Country:US
Practice Address - Phone:740-965-5500
Practice Address - Fax:740-965-5695
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35073132207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F96025Medicare UPIN
OH4035922Medicare PIN