Jimenez, Teodoro

Jimenez, Teodoro is an individual health care provider with primary practice located at 217 S 3Rd St , Danville KY 40422-1823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jimenez, Teodoro can be contacted via phone (859) 335-9041.

Contact Information

Primary practice address
217 S 3Rd St Danville KY 40422-1823
Phone: (859) 335-9041
Fax: (859) 335-9072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11737 West Virginia

Profile Details

NPI number 1619994563
LBN Legal business name Jimenez, Teodoro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jul 9th, 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 1619994563 NPPES
West Virginia Other 3000130 BWC
West Virginia MEDICAID 4401035 BWC
West Virginia MEDICAID 0055978000 BWC
West Virginia Other P00212626 BWC
West Virginia Other 000000384514 BWC

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