Jimenez, Edgar John

Jimenez, Edgar John is an individual health care provider with primary practice located at 80 Doctors Dr Suite 2, Hendersonville NC 28792-7290. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jimenez, Edgar John can be contacted via phone (828) 654-6001.

Contact Information

Primary practice address
80 Doctors Dr Suite 2 Hendersonville NC 28792-7290
Phone: (828) 654-6001
Fax: (828) 654-6007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 31307 North Carolina

Profile Details

NPI number 1073512042
LBN Legal business name Jimenez, Edgar John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 8th, 2007 - 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 1073512042 NPPES
North Carolina MEDICAID 89133KH

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