Deseda, Jaime Enrique

Deseda, Jaime Enrique is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 410 , Fort Wayne IN 46845-0025. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Deseda, Jaime Enrique can be contacted via phone (260) 266-7856.

Contact Information

Primary practice address
11104 Parkview Circle Dr Ste 410 Fort Wayne IN 46845-0025
Phone: (260) 266-7856
Fax: (260) 266-5279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15874 Rhode Island
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 279096 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 279096 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01089022A Indiana

Profile Details

NPI number 1629495098
LBN Legal business name Deseda, Jaime Enrique
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2014
Last updated Jun 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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