Shimanek, Jean
Shimanek, Jean is an sole proprietor health care provider with primary practice located at 101 Hospital Lp Ne Ste 214, Albuq NM 87109-2128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Shimanek, Jean can be contacted via phone (505) 883-6600.Contact Information
Primary practice address
101 Hospital Lp Ne Ste 214
Albuq NM 87109-2128
Phone: (505) 883-6600
Fax: (505) 883-0023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 91307 | New Mexico |
Profile Details
| NPI number | 1891734547 |
|---|---|
| LBN Legal business name | Shimanek, Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | May 20th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891734547 | NPPES |
| New Mexico | MEDICAID | 2086S0122X | |
| New Mexico | Other | 741440546305 | |
| New Mexico | MEDICAID | E2086 |
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