Jimerson, Mark
Jimerson, Mark is an sole proprietor health care provider with primary practice located at 954 Ave Ponce De Leon Ste 405C , San Juan PR 00907. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jimerson, Mark can be contacted via phone (413) 636-5691.Contact Information
Primary practice address
954 Ave Ponce De Leon Ste 405C
San Juan PR 00907
Phone: (413) 636-5691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1030600 | Massachusetts |
Profile Details
| NPI number | 1649317041 |
|---|---|
| LBN Legal business name | Jimerson, Mark |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Aug 13th, 2018 - about 8 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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