Gimenez, David Gerardo

Gimenez, David Gerardo is an individual health care provider with primary practice located at 3333 Silas Creek Pkwy , Winston Salem NC 27103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gimenez, David Gerardo can be contacted via phone (336) 718-9080.

Contact Information

Primary practice address
3333 Silas Creek Pkwy Winston Salem NC 27103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9501252 North Carolina

Profile Details

NPI number 1114989100
LBN Legal business name Gimenez, David Gerardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Oct 25th, 2020 - about 4 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1114989100 NPPES
North Carolina MEDICAID 8935633
North Carolina Other 35633
North Carolina Other 17-09729

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