Lim, Jose Dennis
Lim, Jose Dennis is an sole proprietor health care provider with primary practice located at 1901 W Western Ave #B, South Bend IN 46619-3521. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Lim, Jose Dennis can be contacted via phone (574) 234-9033.Contact Information
Primary practice address
1901 W Western Ave #B
South Bend IN 46619-3521
Phone: (574) 234-9033
Fax: (574) 234-9059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 01044250A | Indiana |
Profile Details
| NPI number | 1821082090 |
|---|---|
| LBN Legal business name | Lim, Jose Dennis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jan 21st, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821082090 | NPPES |
| Indiana | MEDICAID | 200074220 |
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