Jimenez, Jorge Alberto

Jimenez, Jorge Alberto is an individual health care provider with primary practice located at 10202 Jefferson Hwy Ste D , Baton Rouge LA 70809-3183. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Jimenez, Jorge Alberto can be contacted via phone (225) 768-8833.

Contact Information

Primary practice address
10202 Jefferson Hwy Ste D Baton Rouge LA 70809-3183
Phone: (225) 768-8833
Fax: (225) 769-4839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35135633 Ohio
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 35135633 Ohio
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 325976 Louisiana

Profile Details

NPI number 1518353168
LBN Legal business name Jimenez, Jorge Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Aug 25th, 2021 - about 5 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 1518353168 NPPES
Ohio MEDICAID 0359466
Ohio MEDICAID 2561375

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