Jimenez, Lincoln M

Jimenez, Lincoln M is an individual health care provider with primary practice located at 2130 E Johnson Ave Ste 130 , Pensacola FL 32514-6065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Jimenez, Lincoln M can be contacted via phone (850) 494-6003.

Contact Information

Primary practice address
2130 E Johnson Ave Ste 130 Pensacola FL 32514-6065
Fax: (850) 494-9636
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD61014044 Washington
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME116162 Florida

Profile Details

NPI number 1003011339
LBN Legal business name Jimenez, Lincoln M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Jun 29th, 2021 - about 4 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 1003011339 NPPES
Ohio MEDICAID 0225733
Ohio MEDICAID 7100471960
Ohio MEDICAID 1003011339

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