Jimenez, Agnes A
Jimenez, Agnes A is an individual health care provider with primary practice located at 100 Cummings Ctr Suite 126Q, Beverly MA 01915-6115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jimenez, Agnes A can be contacted via phone (978) 524-8181.Contact Information
Primary practice address
100 Cummings Ctr Suite 126Q
Beverly MA 01915-6115
Phone: (978) 524-8181
Fax: (978) 524-9868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 226287 | Massachusetts |
Profile Details
| NPI number | 1235186602 |
|---|---|
| LBN Legal business name | Jimenez, Agnes A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Jan 7th, 2016 - about 8 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 | 1235186602 | NPPES |
| Massachusetts | MEDICAID | 110041759A |
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