Provider Demographics
NPI:1356524607
Name:H. HUM MEDICAL CORPORATION
Entity type:Organization
Organization Name:H. HUM MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT H HUM MEDICAL CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:HILLMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-965-5500
Mailing Address - Street 1:601 W CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074
Mailing Address - Country:US
Mailing Address - Phone:740-965-5500
Mailing Address - Fax:740-965-5695
Practice Address - Street 1:601 W CHERRY ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074
Practice Address - Country:US
Practice Address - Phone:740-965-5500
Practice Address - Fax:740-965-5695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35073132207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9335211Medicare PIN