Healthcare Provider Details

I. General information

NPI: 1730129032
Provider Name (Legal Business Name): HAROLD JAMES HILEMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: H JAMES HILEMAN

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 N LEBANON ST STE 315
LEBANON IN
46052-8622
US

IV. Provider business mailing address

2605 N LEBANON ST
LEBANON IN
46052-1476
US

V. Phone/Fax

Practice location:
  • Phone: 765-485-8855
  • Fax: 765-485-8850
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01044155A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: