Jimenez, Anthony
Jimenez, Anthony is an sole proprietor health care provider with primary practice located at 8401 Berry Patch Dr , Anchorage AK 99502-7265. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as his primary health care specialty. Jimenez, Anthony can be contacted via phone (907) 222-1028.Contact Information
Primary practice address
8401 Berry Patch Dr
Anchorage AK 99502-7265
Phone: (907) 222-1028
Fax: (907) 222-1028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 101179 | Alaska |
Profile Details
| NPI number | 1104360452 |
|---|---|
| LBN Legal business name | Jimenez, Anthony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2016 |
| Last updated | Aug 24th, 2017 - about 9 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 | 1104360452 | NPPES |
| Alaska | Other | 6800582 | DRIVER LICENSE |
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