Lim, Juanito Y

Lim, Juanito Y is an individual health care provider with primary practice located at 2500 Canyon Rd Bldg D Suite 1, Bullhead City AZ 86442-8624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Lim, Juanito Y can be contacted via phone (928) 763-8600.

Contact Information

Primary practice address
2500 Canyon Rd Bldg D Suite 1 Bullhead City AZ 86442-8624
Fax: (928) 704-2201
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 31206 Arizona

Profile Details

NPI number 1336128958
LBN Legal business name Lim, Juanito Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jan 7th, 2014 - about 10 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 1336128958 NPPES
Arizona MEDICAID 831843

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