Simon, Carla Jude

Simon, Carla Jude is an individual health care provider with primary practice located at 1901 Randolph Rd , Charlotte NC 28207-1101. He 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 his primary health care specialty. Simon, Carla Jude can be contacted via phone (704) 384-5420.

Contact Information

Primary practice address
1901 Randolph Rd Charlotte NC 28207-1101
Phone: (704) 384-5420
Fax: (704) 384-5424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200400165 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 200400165 North Carolina

Profile Details

NPI number 1912974551
LBN Legal business name Simon, Carla Jude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Nov 3rd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912974551 NPPES
South Carolina MEDICAID 238442
South Carolina MEDICAID 891363P

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