Pinkham, Jimmie L.

Pinkham, Jimmie L. is an individual health care provider with primary practice located at 3549 11Th Ave , Council Bluffs IA 51501-5641. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pinkham, Jimmie L. can be contacted via phone (712) 328-0708.

Contact Information

Primary practice address
3549 11Th Ave Council Bluffs IA 51501-5641
Phone: (712) 328-0708
Fax: (712) 328-8991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7623 Iowa

Profile Details

NPI number 1215925177
LBN Legal business name Pinkham, Jimmie L.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Dec 20th, 2016 - about 10 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 1215925177 NPPES
Nebraska Other 47077917240 NE MEDICAID
Nebraska MEDICAID 0094250 NE MEDICAID

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