Provider Demographics
NPI:1497480164
Name:HILLMAN, ROB C
Entity type:Individual
Prefix:
First Name:ROB
Middle Name:C
Last Name:HILLMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 CEDAR PLAZA DR STE 1
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-2286
Mailing Address - Country:US
Mailing Address - Phone:208-240-1409
Mailing Address - Fax:
Practice Address - Street 1:2016 CEDAR PLAZA DR STE 1
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2286
Practice Address - Country:US
Practice Address - Phone:208-240-1409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA127988101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health