Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125-060905 | IL |
N | 111NI0900X | Internist | 125-060905 | IL |
Y | 207RR0500X | Rheumatology | 14712 | ND |
NPI | 1093061988 |
---|---|
Provider Name | Dr. Jonathan Paul Hilts |
First Address | Bismarck, ND 58501-4436 |
Second Address | Bismarck, ND 58501-4436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2012 |
Last Update Date | 07/09/2017 |