Jimenez, Carmen

Jimenez, Carmen is an individual health care provider with primary practice located at 27777 Inkster Rd Ste 100 , Farmington Hills MI 48334-5312. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Jimenez, Carmen can be contacted via phone (248) 436-4400.

Contact Information

Primary practice address
27777 Inkster Rd Ste 100 Farmington Hills MI 48334-5312
Phone: (248) 436-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1336585504
LBN Legal business name Jimenez, Carmen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2013
Last updated Nov 24th, 2023 - 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 1336585504 NPPES
New Mexico MEDICAID 18677037

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