Jimenez, Humberto Rafael
Jimenez, Humberto Rafael is an individual health care provider with primary practice located at 111 Central Ave Pharmacy Department, Newark NJ 07102-1909. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jimenez, Humberto Rafael can be contacted via phone (973) 877-5458.Contact Information
Primary practice address
111 Central Ave Pharmacy Department
Newark NJ 07102-1909
Phone: (973) 877-5458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 02864900 | New Jersey |
Profile Details
| NPI number | 1275704496 |
|---|---|
| LBN Legal business name | Jimenez, Humberto Rafael |
| Credentials | PHARM.D., BCPS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2008 |
| Last updated | Mar 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275704496 | NPPES |
| New Jersey | Other | 02864900 | PHARMACIST |
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