Bara-Jimenez, William
Bara-Jimenez, William is an sole proprietor health care provider with primary practice located at 10901 Connecticut Ave Suite 100, Kensington MD 20895-1645. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bara-Jimenez, William can be contacted via phone (240) 221-8052.Contact Information
Primary practice address
10901 Connecticut Ave Suite 100
Kensington MD 20895-1645
Phone: (240) 221-8052
Fax: (240) 221-8054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0052154 | Maryland |
Profile Details
| NPI number | 1407931496 |
|---|---|
| LBN Legal business name | Bara-Jimenez, William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jun 11th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407931496 | NPPES |
| Maryland | MEDICAID | 414111300 |
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