Jimenez, Federico J

Jimenez, Federico J is an individual health care provider with primary practice located at 2345 Dougherty Ferry Rd , Saint Louis MO 63122-3313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Jimenez, Federico J can be contacted via phone (314) 821-5850.

Contact Information

Primary practice address
2345 Dougherty Ferry Rd Saint Louis MO 63122-3313
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 35897 Missouri

Profile Details

NPI number 1750327250
LBN Legal business name Jimenez, Federico J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 11th, 2008 - about 16 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 1750327250 NPPES
Missouri MEDICAID 201618121

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