Jimenez-Medina, Evelyn Esther

Jimenez-Medina, Evelyn Esther is an individual health care provider with primary practice located at 658 W Market St Ste 117, Lima OH 45801-4697. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Jimenez-Medina, Evelyn Esther can be contacted via phone (419) 222-3482.

Contact Information

Primary practice address
658 W Market St Ste 117 Lima OH 45801-4697
Phone: (419) 222-3482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 35069085J Ohio

Profile Details

NPI number 1518963131
LBN Legal business name Jimenez-Medina, Evelyn Esther
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 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 1518963131 NPPES
Ohio MEDICAID 0189326
Ohio Other 1417179730

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