Simon, Bennett
Simon, Bennett is an sole proprietor health care provider with primary practice located at 44B Burroughs St , Jamaica Plain MA 02130-4016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Simon, Bennett can be contacted via phone (617) 983-8733.Contact Information
Primary practice address
44B Burroughs St
Jamaica Plain MA 02130-4016
Phone: (617) 983-8733
Fax: (617) 983-1877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 33108 | Massachusetts |
Profile Details
| NPI number | 1043364649 |
|---|---|
| LBN Legal business name | Simon, Bennett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - 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 | 1043364649 | NPPES |
| Massachusetts | Other | SIB11362 | BLUE CROSS BLUE SHIELD |
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