Jimenez, Edgar
Jimenez, Edgar is an sole proprietor health care provider with primary practice located at 2860 E Flamingo Rd Ste K , Las Vegas NV 89121-5270. He recently has only one registered license in Agencies / In Home Supportive Care, which is considered as his primary health care specialty. Jimenez, Edgar can be contacted via phone (702) 318-5005.Contact Information
Primary practice address
2860 E Flamingo Rd Ste K
Las Vegas NV 89121-5270
Phone: (702) 318-5005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | 1017014744001 | Nevada |
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X | 1710058573 | Nevada |
Profile Details
| NPI number | 1871975219 |
|---|---|
| LBN Legal business name | Jimenez, Edgar |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2015 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1871975219 | NPPES |
| Nevada | Other | 1710058573 | PERSONAL CARE |
| Nevada | MEDICAID | 1710058573 | PERSONAL CARE |
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