Provider Demographics
NPI:1316934375
Name:HILEMAN, ROBERT LEE (RPT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEE
Last Name:HILEMAN
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1199 DELBON AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2015
Mailing Address - Country:US
Mailing Address - Phone:209-632-4188
Mailing Address - Fax:209-632-6852
Practice Address - Street 1:1199 DELBON AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2015
Practice Address - Country:US
Practice Address - Phone:209-632-4188
Practice Address - Fax:209-632-6852
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 8153174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00PT81530Medicare UPIN