Simon, David C

Simon, David C is an individual health care provider with primary practice located at 410 S Wilcox St , Castle Rock CO 80104-2662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Simon, David C can be contacted via phone (303) 688-6900.

Contact Information

Primary practice address
410 S Wilcox St Castle Rock CO 80104-2662
Phone: (303) 688-6900
Fax: (303) 688-1417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18878 Colorado
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 18878 Colorado

Profile Details

NPI number 1205930302
LBN Legal business name Simon, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jul 21st, 2010 - about 14 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 1205930302 NPPES
Colorado MEDICAID 04007407
Colorado MEDICAID 01188788

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