Jimenez, Angel

Jimenez, Angel is an individual health care provider with primary practice located at 76 Summer St , Fitchburg MA 01420-5783. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jimenez, Angel can be contacted via phone (978) 343-2433.

Contact Information

Primary practice address
76 Summer St Fitchburg MA 01420-5783
Phone: (978) 343-2433
Fax: (978) 343-0791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1407019474
LBN Legal business name Jimenez, Angel
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Jul 9th, 2008 - about 17 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 1407019474 NPPES
Massachusetts MEDICAID 1308785
Massachusetts MEDICAID 1306421

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