Individual
CHAD MICHAEL HILLYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1408 VETERANS DR, STE 100, ELKHORN, NE 68022-6912
(402) 916-5665
(402) 934-2719
Mailing address
1408 VETERANS DR, STE 100, ELKHORN, NE 68022-6912
(402) 916-5665
(402) 934-2719
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1041
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01022462
RR MEDICARE
NE
Enumeration date
07/19/2006
Last updated
07/18/2016
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