1629274113 NPI number — SHERI LYNN HILGER MSW

Table of content: SHERI LYNN HILGER MSW (NPI 1629274113)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629274113 NPI number — SHERI LYNN HILGER MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILGER
Provider First Name:
SHERI
Provider Middle Name:
LYNN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629274113
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10680 BARKLEY ST
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
OVERLAND PARK
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66212-1861
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-648-2984
Provider Business Mailing Address Fax Number:
913-648-2977

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10680 BARKLEY ST
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
OVERLAND PARK
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66212-1861
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-648-2984
Provider Business Practice Location Address Fax Number:
913-648-2977
Provider Enumeration Date:
06/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LSCSW 1679 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: 2000167462 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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