Jimenez, Edgar
Jimenez, Edgar is an individual health care provider with primary practice located at 402 E Main St , Waterbury CT 06702-1701. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jimenez, Edgar can be contacted via phone (023) 755-1143.Contact Information
Primary practice address
402 E Main St
Waterbury CT 06702-1701
Phone: (023) 755-1143
Fax: (203) 753-3274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CADC1378 | Connecticut |
Profile Details
| NPI number | 1205019569 |
|---|---|
| LBN Legal business name | Jimenez, Edgar |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2007 |
| Last updated | Dec 10th, 2007 - 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.
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