Prendiville, Simon St. John

Prendiville, Simon St. John is an individual health care provider with primary practice located at 2015 Randolph Road Suite 208, Charlotte NC 28207-1200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Prendiville, Simon St. John can be contacted via phone (704) 377-4009.

Contact Information

Primary practice address
2015 Randolph Road Suite 208 Charlotte NC 28207-1200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 200300278 North Carolina

Profile Details

NPI number 1023076353
LBN Legal business name Prendiville, Simon St. John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Apr 5th, 2022 - about 3 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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