Jaimes, Juan P
Jaimes, Juan P is an individual health care provider with primary practice located at 587 Bielenberg Dr Suite 200, Woodbury MN 55125-4451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Jaimes, Juan P can be contacted via phone (651) 578-2700.Contact Information
Primary practice address
587 Bielenberg Dr Suite 200
Woodbury MN 55125-4451
Phone: (651) 578-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 52466 | Minnesota |
Profile Details
| NPI number | 1659548626 |
|---|---|
| LBN Legal business name | Jaimes, Juan P |
| Credentials | M.D., M.S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2008 |
| Last updated | Feb 4th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659548626 | NPPES |
| Minnesota | MEDICAID | 1659548626 |
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