Rodriguez Jimenez, Liza M

Rodriguez Jimenez, Liza M is an sole proprietor health care provider with primary practice located at 500 Sw Ramsey Ave , Grants Pass OR 97527-5554. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Rodriguez Jimenez, Liza M can be contacted via phone (541) 472-7000.

Contact Information

Primary practice address
500 Sw Ramsey Ave Grants Pass OR 97527-5554
Phone: (541) 472-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD425323 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M-11300 Idaho
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X PT12611 North Dakota

Profile Details

NPI number 1346222049
LBN Legal business name Rodriguez Jimenez, Liza M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated May 2nd, 2024 - about last year

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 1346222049 NPPES
Pennsylvania MEDICAID 1011459180001
Pennsylvania MEDICAID 1011459180002
Pennsylvania Other 2347693000
Pennsylvania MEDICAID 1011459180003
Pennsylvania Other 1672808

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