Jimerson, Andrew

Jimerson, Andrew is an individual health care provider with primary practice located at 11811 Shaker Blvd Ste. 330, Cleveland OH 44120-1931. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Jimerson, Andrew can be contacted via phone (216) 721-1805.

Contact Information

Primary practice address
11811 Shaker Blvd Ste. 330 Cleveland OH 44120-1931
Phone: (216) 721-1805
Fax: (216) 721-4257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 35-141190J Ohio

Profile Details

NPI number 1427056076
LBN Legal business name Jimerson, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 8th, 2007 - about 18 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 1427056076 NPPES
Ohio Other 000000135949 ANTHEM
Ohio MEDICAID 2183622 ANTHEM

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