Imitola Herrera, Jaime

Imitola Herrera, Jaime is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Imitola Herrera, Jaime can be contacted via phone (860) 679-4888.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-0001
Phone: (860) 679-4888
Fax: (860) 679-0131
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35122346 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 063204 Connecticut

Profile Details

NPI number 1548420615
LBN Legal business name Imitola Herrera, Jaime
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Sep 26th, 2022 - about 2 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 1548420615 NPPES
Ohio MEDICAID 0093556

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