Jimenez, Patricia Tereese

Jimenez, Patricia Tereese is an individual health care provider with primary practice located at 4444 Forest Park Ave Div Ob Reproductive Endocrinology, Ste 3100, Saint Louis MO 63108-2212. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Jimenez, Patricia Tereese can be contacted via phone (314) 286-2400.

Contact Information

Primary practice address
4444 Forest Park Ave Div Ob Reproductive Endocrinology, Ste 3100 Saint Louis MO 63108-2212
Fax: (314) 286-2455
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 2017009639 Missouri

Profile Details

NPI number 1003019217
LBN Legal business name Jimenez, Patricia Tereese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Apr 25th, 2024 - about 7 months 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 1003019217 NPPES
Missouri MEDICAID 200043790

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