Jimenez, Rodolfo
Jimenez, Rodolfo is an individual health care provider with primary practice located at 1260 S Campbell Rd , Green Valley AZ 85614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jimenez, Rodolfo can be contacted via phone (520) 625-3691.Contact Information
Primary practice address
1260 S Campbell Rd
Green Valley AZ 85614
Phone: (520) 625-3691
Fax: (520) 625-2894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2763 | Arizona |
Profile Details
| NPI number | 1013910751 |
|---|---|
| LBN Legal business name | Jimenez, Rodolfo |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2005 |
| Last updated | Jan 31st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013910751 | NPPES |
| Arizona | Other | 113799 | MEDICARE ID |
| Arizona | MEDICAID | 139081 | MEDICARE ID |
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