Shin, Nicole Jimin

Shin, Nicole Jimin is an individual health care provider with primary practice located at 3015 N Ballas Rd Div Anes Pain Mgt, Saint Louis MO 63131-2329. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Shin, Nicole Jimin can be contacted via phone (314) 996-7200.

Contact Information

Primary practice address
3015 N Ballas Rd Div Anes Pain Mgt Saint Louis MO 63131-2329
Phone: (314) 996-7200
Fax: (314) 996-7376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2020020208 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2020020208 Missouri

Profile Details

NPI number 1447645320
LBN Legal business name Shin, Nicole Jimin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2015
Last updated Apr 17th, 2025 - about last year

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 1447645320 NPPES
Missouri MEDICAID 200089567

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