Rodriguez Jimenez, Liza M
Rodriguez Jimenez, Liza M is an sole proprietor health care provider with primary practice located at 500 Sw Ramsey Ave , Grants Pass OR 97527-5554. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Rodriguez Jimenez, Liza M can be contacted via phone (541) 472-7000.Contact Information
Primary practice address
500 Sw Ramsey Ave
Grants Pass OR 97527-5554
Phone: (541) 472-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD425323 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M-11300 | Idaho |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | PT12611 | North Dakota |
Profile Details
| NPI number | 1346222049 |
|---|---|
| LBN Legal business name | Rodriguez Jimenez, Liza M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | May 2nd, 2024 - about 2 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 | 1346222049 | NPPES |
| Pennsylvania | MEDICAID | 1011459180001 | |
| Pennsylvania | MEDICAID | 1011459180002 | |
| Pennsylvania | Other | 2347693000 | |
| Pennsylvania | MEDICAID | 1011459180003 | |
| Pennsylvania | Other | 1672808 |
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