Jimerson, Mark

Jimerson, Mark is an sole proprietor health care provider with primary practice located at 954 Ave Ponce De Leon Ste 405C , San Juan PR 00907. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jimerson, Mark can be contacted via phone (413) 636-5691.

Contact Information

Primary practice address
954 Ave Ponce De Leon Ste 405C San Juan PR 00907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1030600 Massachusetts

Profile Details

NPI number 1649317041
LBN Legal business name Jimerson, Mark
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Aug 13th, 2018 - about 7 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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